PARK DENTAL SERVICE, P.C.
NPI: 1225584758
· DETROIT, MI 48223
· Dental Clinic/Center
· NPI assigned 08/25/2016
Provider Details
| Authorized Official | SMITH, ERIC (OWNER) |
| NPI Enumeration Date | 08/25/2016 |
Related Entities
Other providers sharing the same authorized official: SMITH, ERIC
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
77 |
$3K |
| 2021 |
225 |
$8K |
| 2022 |
140 |
$7K |
| 2023 |
167 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7140 |
Extraction, erupted tooth or exposed root |
130 |
72 |
$8K |
| D0210 |
Intraoral - complete series of radiographic images |
109 |
109 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
126 |
125 |
$5K |
| D1110 |
Prophylaxis - adult |
69 |
69 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
84 |
84 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
39 |
39 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
26 |
26 |
$468.36 |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$414.49 |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
13 |
$300.00 |