JAMES M. BURKART FAMILY DENTISTRY
NPI: 1225417017
· MISHAWAKA, IN 46545
· General Practice Dentistry
· NPI assigned 05/26/2015
$949.09
Total Medicaid Paid
Provider Details
| Authorized Official | BURKART, TRACY (OFFICE MANAGER) |
| NPI Enumeration Date | 05/26/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
70 |
$949.09 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
48 |
45 |
$519.34 |
| D1110 |
Prophylaxis - adult |
22 |
19 |
$429.75 |