HOUGHTON LAKE FAMILY DENTISTRY
NPI: 1235755224
· HOUGHTON LAKE, MI 48629
· Dental Clinic/Center
· NPI assigned 06/25/2020
Provider Details
| Authorized Official | PACELLA, ROBERT (OWNER/DENTIST) |
| NPI Enumeration Date | 06/25/2020 |
Related Entities
Other providers sharing the same authorized official: PACELLA, ROBERT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
179 |
$5K |
| 2021 |
369 |
$10K |
| 2022 |
266 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
333 |
333 |
$8K |
| D1120 |
Prophylaxis - child |
193 |
193 |
$7K |
| D1208 |
Topical application of fluoride, excluding varnish |
237 |
237 |
$5K |
| D1110 |
Prophylaxis - adult |
26 |
26 |
$1K |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$396.00 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
12 |
$204.00 |