CHIPMAN-BERGSMA, ANNA
NPI: 1275063042
· LAWRENCE, MI 49064
· General Practice Dentistry
· NPI assigned 06/14/2017
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
269 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
59 |
59 |
$2K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
16 |
13 |
$2K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
22 |
14 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
68 |
68 |
$2K |
| D1206 |
Topical application of fluoride varnish |
68 |
68 |
$2K |
| D0274 |
Bitewings - four radiographic images |
24 |
24 |
$724.81 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$582.00 |