NPI: 1104423839 · WOODHAVEN, MI 48183 · General Practice Dentistry · NPI assigned 10/06/2020
| Authorized Official | GARCIA, MARLEN (MANAGER) |
| NPI Enumeration Date | 10/06/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 55 | $2K |
| 2022 | 915 | $25K |
| 2023 | 4,339 | $230K |
| 2024 | 5,904 | $259K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2740 | 151 | 108 | $88K | |
| D1351 | 2,439 | 321 | $69K | |
| D2392 | 603 | 372 | $67K | |
| D0150 | 842 | 842 | $34K | |
| D1110 | 699 | 699 | $34K | |
| D1120 | 748 | 748 | $29K | |
| D0274 | 1,149 | 1,144 | $25K | |
| D0120 | 916 | 915 | $24K | |
| D2950 | 146 | 121 | $22K | |
| D0140 | 478 | 462 | $19K | |
| D0210 | 375 | 367 | $19K | |
| D1206 | 535 | 534 | $14K | |
| D0220 | 850 | 787 | $13K | |
| D2393 | 95 | 72 | $13K | |
| D0330 | 211 | 211 | $11K | |
| D3330 | 13 | 13 | $8K | |
| D7210 | 62 | 37 | $8K | |
| D2391 | 103 | 77 | $8K | |
| D1208 | 301 | 301 | $6K | |
| D0230 | 470 | 337 | $3K | |
| D7140 | 27 | 15 | $2K |