MICHIGAN DENTAL GROUP
NPI: 1134844871
· PORT HURON, MI 48060
· Dental Clinic/Center
· NPI assigned 10/05/2022
Provider Details
| Authorized Official | MARGEAS, ANDREA (OWNER/DENTIST) |
| NPI Enumeration Date | 10/05/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
14 |
$370.00 |
| 2023 |
509 |
$13K |
| 2024 |
352 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
309 |
309 |
$8K |
| D1206 |
Topical application of fluoride varnish |
260 |
260 |
$7K |
| D1110 |
Prophylaxis - adult |
51 |
51 |
$3K |
| D1120 |
Prophylaxis - child |
58 |
58 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
98 |
98 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
87 |
81 |
$850.47 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$432.00 |