NPI: 1154450187 · FARMINGTON HILLS, MI 48331 · General Practice Dentistry · NPI assigned 03/05/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 742 | $43K |
| 2020 | 337 | $17K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 599 | 594 | $60K |
| D1110 | Prophylaxis - adult | 163 | 163 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 64 | 63 | $0.00 |
| D0120 | Periodic oral evaluation - established patient | 241 | 239 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 12 | 12 | $0.00 |