ACCESS DENTAL GROUP PLLC
NPI: 1093819344
· TRAVERSE CITY, MI 49686
· General Practice Dentistry
· NPI assigned 09/08/2006
Provider Details
| Authorized Official | HAGIE, AMANDA (OFFICE MANAGER) |
| NPI Enumeration Date | 09/08/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
79 |
$2K |
| 2019 |
87 |
$2K |
| 2020 |
40 |
$858.00 |
| 2021 |
40 |
$952.00 |
| 2022 |
122 |
$2K |
| 2023 |
55 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
245 |
245 |
$6K |
| D1120 |
Prophylaxis - child |
55 |
55 |
$2K |
| D1206 |
Topical application of fluoride varnish |
105 |
105 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
18 |
18 |
$336.00 |