DAVID M KOLAKOWSKI DDS PC
NPI: 1114545795
· MACOMB, MI 48044
· General Practice Dentistry
· NPI assigned 07/09/2020
Provider Details
| Authorized Official | KOLAKOWSKI, DAVID (PRESIDENT, DENTIST) |
| NPI Enumeration Date | 07/09/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
53 |
$1K |
| 2021 |
100 |
$2K |
| 2022 |
107 |
$2K |
| 2023 |
56 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
171 |
171 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
107 |
107 |
$2K |
| D1110 |
Prophylaxis - adult |
25 |
25 |
$955.81 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$410.00 |