MOUNTFORD AND RUSZKOWSKI FAMILY DENTISTRY PLLC
NPI: 1104403401
· GRAND HAVEN, MI 49417
· General Practice Dentistry
· NPI assigned 03/24/2021
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
36 |
$1K |
| 2022 |
64 |
$2K |
| 2023 |
87 |
$3K |
| 2024 |
42 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
144 |
144 |
$4K |
| D1120 |
Prophylaxis - child |
36 |
36 |
$2K |
| D1206 |
Topical application of fluoride varnish |
25 |
25 |
$696.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
24 |
24 |
$564.00 |