THREE RIVERS JM DENTAL PC
NPI: 1235847773
· THREE RIVERS, MI 49093
· Dental Clinic/Center
· NPI assigned 11/14/2022
Provider Details
| Authorized Official | BARTMAN, JAMIE (OWNER) |
| NPI Enumeration Date | 11/14/2022 |
Related Entities
Other providers sharing the same authorized official: BARTMAN, JAMIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
795 |
$26K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
109 |
109 |
$5K |
| D0140 |
Limited oral evaluation - problem focused |
106 |
105 |
$5K |
| D1110 |
Prophylaxis - adult |
79 |
79 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
225 |
214 |
$4K |
| D0274 |
Bitewings - four radiographic images |
83 |
83 |
$3K |
| D0330 |
Panoramic radiographic image |
26 |
26 |
$2K |
| D1206 |
Topical application of fluoride varnish |
69 |
69 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
86 |
75 |
$901.75 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$475.75 |