NICOLE D TEIFER DDS PLLC
NPI: 1104292713
· CANTON, MI 48187
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 08/18/2015
Provider Details
| Authorized Official | TEIFER, NICOLE (OWNER) |
| NPI Enumeration Date | 08/18/2015 |
Related Entities
Other providers sharing the same authorized official: TEIFER, NICOLE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,498 |
$49K |
| 2019 |
71 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
317 |
317 |
$13K |
| D1206 |
Topical application of fluoride varnish |
333 |
333 |
$9K |
| D0120 |
Periodic oral evaluation - established patient |
193 |
193 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
96 |
96 |
$6K |
| D7140 |
Extraction, erupted tooth or exposed root |
49 |
28 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
188 |
187 |
$4K |
| D0272 |
Bitewings - two radiographic images |
126 |
126 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
215 |
167 |
$3K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
15 |
12 |
$2K |
| D0240 |
|
37 |
19 |
$814.00 |