COHEN MODERN DENTISTRY P.C.
NPI: 1104288059
· SOUTHGATE, MI 48195
· Dentist
· NPI assigned 03/21/2016
Provider Details
| Authorized Official | COHEN, JASON (OWNER) |
| NPI Enumeration Date | 03/21/2016 |
Related Entities
Other providers sharing the same authorized official: COHEN, JASON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
17 |
$397.60 |
| 2019 |
60 |
$2K |
| 2020 |
186 |
$4K |
| 2021 |
201 |
$6K |
| 2022 |
119 |
$2K |
| 2023 |
57 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
256 |
251 |
$6K |
| D1208 |
Topical application of fluoride, excluding varnish |
173 |
171 |
$3K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
26 |
13 |
$3K |
| D1110 |
Prophylaxis - adult |
55 |
50 |
$2K |
| D1120 |
Prophylaxis - child |
26 |
26 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
40 |
38 |
$499.80 |
| D0230 |
Intraoral - periapical each additional radiographic image |
27 |
26 |
$163.80 |
| D1999 |
|
37 |
34 |
$0.00 |