CAROLAN FAMILY DENTISTRY
NPI: 1164778346
· PORT HURON, MI 48060
· General Practice Dentistry
· NPI assigned 07/25/2012
Provider Details
| Authorized Official | CAROLAN, KEVIN (CEO) |
| NPI Enumeration Date | 07/25/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
294 |
$8K |
| 2019 |
258 |
$8K |
| 2020 |
78 |
$2K |
| 2021 |
25 |
$700.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
331 |
330 |
$9K |
| D1120 |
Prophylaxis - child |
137 |
137 |
$5K |
| D1206 |
Topical application of fluoride varnish |
172 |
172 |
$4K |
| D1110 |
Prophylaxis - adult |
15 |
15 |
$810.00 |