NPI: 1144381252 · HIGHLAND, MI 48356 · General Practice Dentistry · NPI assigned 12/12/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,521 | $45K |
| 2019 | 12 | $98.96 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 294 | 294 | $11K |
| D1351 | Sealant - per tooth | 292 | 97 | $9K |
| D1206 | Topical application of fluoride varnish | 314 | 314 | $7K |
| D0274 | Bitewings - four radiographic images | 162 | 162 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 114 | 114 | $5K |
| D0120 | Periodic oral evaluation - established patient | 183 | 183 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 72 | 72 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 83 | 71 | $732.70 |
| D0272 | Bitewings - two radiographic images | 19 | 19 | $475.00 |