AE DENTAL PLLC
NPI: 1134851504
· DAVISON, MI 48423
· Dental Clinic/Center
· NPI assigned 06/25/2022
Provider Details
| Authorized Official | TORRES, RACHEL (SOLE MEMBER) |
| NPI Enumeration Date | 06/25/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
223 |
$5K |
| 2023 |
606 |
$18K |
| 2024 |
294 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
432 |
432 |
$10K |
| D1120 |
Prophylaxis - child |
275 |
275 |
$10K |
| D1206 |
Topical application of fluoride varnish |
230 |
230 |
$6K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
19 |
12 |
$2K |
| D1110 |
Prophylaxis - adult |
41 |
41 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
80 |
80 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
46 |
32 |
$352.00 |