GREAT SMILE FAMILY DENTISTRY,P.C.
NPI: 1174922272
· CANTON, MI 48187
· 1223G0001X
$665.33
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
32 |
$340.33 |
| 2022 |
29 |
$325.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
|
27 |
25 |
$400.90 |
| D0230 |
|
34 |
25 |
$264.43 |