DEERFIELD FAMILY DENTISTRY
NPI: 1124789334
· NORTH BRANCH, MI 48461
· General Practice Dentistry
· NPI assigned 01/10/2022
Provider Details
| Authorized Official | SITTO, OLA (OWNER) |
| NPI Enumeration Date | 01/10/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
14 |
$300.00 |
| 2023 |
90 |
$3K |
| 2024 |
36 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
31 |
31 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
44 |
44 |
$950.00 |
| D0120 |
Periodic oral evaluation - established patient |
26 |
26 |
$783.00 |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$528.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
14 |
$441.00 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$234.00 |