ELITE FAMILY DENTISTRY PLLC
NPI: 1245877554
· DUNDEE, MI 48131
· Dental Clinic/Center
· NPI assigned 12/05/2019
Provider Details
| Authorized Official | AMADOR, RAQUEL (OFFICE MANAGER) |
| NPI Enumeration Date | 12/05/2019 |
Related Entities
Other providers sharing the same authorized official: AMADOR, RAQUEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
26 |
$1K |
| 2021 |
82 |
$3K |
| 2022 |
199 |
$8K |
| 2023 |
444 |
$69K |
| 2024 |
55 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2740 |
Crown - porcelain/ceramic |
64 |
24 |
$48K |
| D2950 |
|
40 |
12 |
$8K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
165 |
165 |
$7K |
| D1110 |
Prophylaxis - adult |
117 |
117 |
$6K |
| D0210 |
Intraoral - complete series of radiographic images |
106 |
105 |
$6K |
| D0220 |
Intraoral - periapical first radiographic image |
157 |
155 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
64 |
64 |
$2K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
16 |
12 |
$1K |
| D0330 |
Panoramic radiographic image |
27 |
27 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
26 |
26 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
24 |
24 |
$241.89 |