MAIN STREET FAMILY DENTAL
NPI: 1205357126
· BIRCH RUN, MI 48415
· Dental Clinic/Center
· NPI assigned 06/30/2017
Provider Details
| Authorized Official | EUBANKS, EMILY (DENTIST) |
| NPI Enumeration Date | 06/30/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
274 |
$7K |
| 2021 |
647 |
$15K |
| 2022 |
698 |
$18K |
| 2023 |
854 |
$22K |
| 2024 |
145 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
665 |
664 |
$25K |
| D1206 |
Topical application of fluoride varnish |
748 |
746 |
$17K |
| D0120 |
Periodic oral evaluation - established patient |
676 |
672 |
$17K |
| D0220 |
Intraoral - periapical first radiographic image |
270 |
267 |
$4K |
| D1110 |
Prophylaxis - adult |
55 |
55 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
168 |
168 |
$1K |
| D0274 |
Bitewings - four radiographic images |
36 |
36 |
$983.00 |