NPI: 1114332350 · KENTWOOD, MI 49512 · General Practice Dentistry
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,087 | $213K |
| 2019 | 4,587 | $175K |
| 2021 | 68 | $809.26 |
| 2022 | 186 | $2K |
| 2023 | 147 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | 762 | 373 | $95K | |
| D1120 | 1,185 | 1,184 | $46K | |
| D0120 | 1,500 | 1,499 | $40K | |
| D2391 | 351 | 220 | $33K | |
| D1110 | 517 | 517 | $26K | |
| D1206 | 937 | 937 | $23K | |
| D0220 | 1,265 | 1,245 | $20K | |
| D0274 | 562 | 562 | $19K | |
| D1351 | 424 | 108 | $12K | |
| D2393 | 72 | 43 | $11K | |
| D0140 | 245 | 243 | $10K | |
| D1208 | 443 | 442 | $10K | |
| D0150 | 219 | 216 | $9K | |
| D0230 | 1,016 | 989 | $9K | |
| D2930 | 47 | 28 | $8K | |
| D2950 | 44 | 40 | $7K | |
| D0272 | 298 | 298 | $7K | |
| D3220 | 50 | 28 | $6K | |
| D7140 | 32 | 24 | $3K | |
| D0350 | 25 | 25 | $367.60 | |
| D0602 | 81 | 81 | $0.00 |