HOUGHTON LAKE DENTAL GROUP, PC
NPI: 1134220593
· HOUGHTON LAKE, MI 48629
· General Practice Dentistry
· NPI assigned 09/26/2006
$124K
Total Medicaid Paid
Provider Details
| Authorized Official | HOOD, JOSEPH (PRESIDENT) |
| NPI Enumeration Date | 09/26/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,345 |
$33K |
| 2019 |
1,288 |
$33K |
| 2020 |
725 |
$19K |
| 2021 |
1,028 |
$27K |
| 2022 |
449 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,117 |
1,117 |
$39K |
| D0120 |
Periodic oral evaluation - established patient |
1,324 |
1,324 |
$32K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,296 |
1,296 |
$27K |
| D1110 |
Prophylaxis - adult |
273 |
273 |
$13K |
| D0220 |
Intraoral - periapical first radiographic image |
388 |
384 |
$6K |
| D0274 |
Bitewings - four radiographic images |
151 |
151 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
53 |
53 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
217 |
202 |
$2K |
| D0272 |
Bitewings - two radiographic images |
16 |
16 |
$350.00 |