NORTON SHORES DENTAL PC
NPI: 1255719456
· NORTON SHORES, MI 49441
· Endodontist
· NPI assigned 05/08/2015
Provider Details
| Authorized Official | LEYDER, RONALD (PRESIDENT) |
| NPI Enumeration Date | 05/08/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
120 |
$4K |
| 2019 |
169 |
$5K |
| 2020 |
164 |
$4K |
| 2021 |
96 |
$2K |
| 2022 |
213 |
$4K |
| 2023 |
297 |
$5K |
| 2024 |
32 |
$572.50 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
542 |
541 |
$11K |
| D1120 |
Prophylaxis - child |
254 |
254 |
$8K |
| D1206 |
Topical application of fluoride varnish |
250 |
249 |
$4K |
| D1110 |
Prophylaxis - adult |
29 |
28 |
$828.83 |
| D0274 |
Bitewings - four radiographic images |
16 |
16 |
$199.54 |