NPI: 1194052183 · MISHAWAKA, IN 46544 · General Practice Dentistry · NPI assigned 11/11/2009
| Authorized Official | FELTZER, JEFFREY (PRESIDENT) |
| NPI Enumeration Date | 11/11/2009 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 761 | $7K |
| 2019 | 825 | $12K |
| 2020 | 2,244 | $38K |
| 2021 | 918 | $35K |
| 2023 | 1,765 | $61K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 977 | 773 | $37K | |
| D0210 | 363 | 287 | $24K | |
| D0120 | 1,108 | 888 | $19K | |
| D0150 | 448 | 382 | $17K | |
| D0140 | 502 | 401 | $15K | |
| D0274 | 658 | 506 | $14K | |
| D0220 | 914 | 708 | $10K | |
| D2392 | 62 | 30 | $5K | |
| D1206 | 271 | 243 | $5K | |
| D0230 | 483 | 287 | $3K | |
| D0330 | 117 | 82 | $2K | |
| D1120 | 45 | 45 | $2K | |
| D1208 | 140 | 106 | $743.26 | |
| D1999 | 425 | 354 | $275.00 |