STANDISH DENTAL
NPI: 1104523588
· STANDISH, MI 48658
· Dental Clinic/Center
· NPI assigned 02/15/2023
Provider Details
| Authorized Official | FORD, KIM (OFFICE MANAGER) |
| NPI Enumeration Date | 02/15/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
210 |
$6K |
| 2024 |
420 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
265 |
264 |
$6K |
| D0120 |
Periodic oral evaluation - established patient |
192 |
191 |
$5K |
| D1120 |
Prophylaxis - child |
125 |
125 |
$5K |
| D1351 |
Sealant - per tooth |
48 |
12 |
$1K |