TRU DENTAL MICHIGAN PC
NPI: 1104407311
· LITCHFIELD, MI 49252
· General Practice Dentistry
· NPI assigned 04/19/2021
Provider Details
| Authorized Official | HAYES, CELIA (CREDENTIALING COORDINATOR) |
| Parent Organization | TRU DENTAL MICHIGAN PC |
| NPI Enumeration Date | 04/19/2021 |
Related Entities
Other providers sharing the same authorized official: HAYES, CELIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
346 |
$9K |
| 2022 |
348 |
$11K |
| 2023 |
13 |
$368.88 |
| 2024 |
373 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
291 |
291 |
$11K |
| D1206 |
Topical application of fluoride varnish |
299 |
298 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
254 |
254 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
53 |
53 |
$2K |
| D1110 |
Prophylaxis - adult |
28 |
28 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
42 |
42 |
$888.00 |
| D0220 |
Intraoral - periapical first radiographic image |
68 |
67 |
$846.49 |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$648.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
33 |
25 |
$266.89 |