RACHOR DENTAL CARE
NPI: 1225649585
· FENTON, MI 48430
· Public Health Dentist
· NPI assigned 08/11/2020
Provider Details
| Authorized Official | TOMCZYK, ALISON (ASSISTANT OFFICE MANAGER) |
| NPI Enumeration Date | 08/11/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
58 |
$2K |
| 2021 |
116 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
114 |
114 |
$3K |
| D1120 |
Prophylaxis - child |
29 |
29 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
31 |
31 |
$720.00 |