SCHULTZ FAMILY DENTISTRY
NPI: 1093387557
· LINDEN, MI 48451
· Dental Clinic/Center
· NPI assigned 07/14/2021
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
126 |
$3K |
| 2022 |
180 |
$4K |
| 2023 |
338 |
$9K |
| 2024 |
217 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
446 |
446 |
$9K |
| D1110 |
Prophylaxis - adult |
100 |
100 |
$5K |
| D1120 |
Prophylaxis - child |
131 |
131 |
$4K |
| D1206 |
Topical application of fluoride varnish |
54 |
54 |
$901.69 |
| D1208 |
Topical application of fluoride, excluding varnish |
61 |
61 |
$771.16 |
| D0274 |
Bitewings - four radiographic images |
31 |
31 |
$676.50 |
| D0220 |
Intraoral - periapical first radiographic image |
26 |
26 |
$300.28 |
| D0230 |
Intraoral - periapical each additional radiographic image |
12 |
12 |
$90.00 |