NPI: 1275901712 · CENTRAL POINT, OR 97502 · General Practice Dentistry · NPI assigned 09/14/2015
| Authorized Official | BRATLAND, MICHAEL (OWNER) |
| Parent Organization | CRISDENTAL PC |
| NPI Enumeration Date | 09/14/2015 |
Other providers sharing the same authorized official: BRATLAND, MICHAEL
| Provider | City | State | Total Paid |
|---|---|---|---|
| CRISDENTAL GRANTS PASS LLC | GRANTS PASS | OR | $6K |
| CRISDENTAL SALEM L.L.C. | SALEM | OR | $1K |
| CRISDENTAL EAGLE POINT LLC | EAGLE POINT | OR | $1K |
| CRIS DENTAL GROUP | EUGENE | OR | $137.00 |
| CRIS DENTAL GROUP | SPRINGFIELD | OR | $111.00 |
| CRISDENTAL LINCOLN CITY, LLC | LINCOLN CITY | OR | $46.00 |
| AMERICAN DENTAL L.L.C | ROSEBURG | OR | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,936 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0603 | 1,148 | 813 | $0.00 | |
| D0120 | 67 | 56 | $0.00 | |
| D1330 | 1,303 | 912 | $0.00 | |
| D1208 | 272 | 205 | $0.00 | |
| D0150 | 220 | 170 | $0.00 | |
| D1351 | 28 | 14 | $0.00 | |
| D0140 | 162 | 129 | $0.00 | |
| D0210 | 13 | 13 | $0.00 | |
| D0220 | 164 | 135 | $0.00 | |
| D1354 | 5,294 | 480 | $0.00 | |
| D1120 | 114 | 83 | $0.00 | |
| D1110 | 60 | 44 | $0.00 | |
| D0270 | 15 | 15 | $0.00 | |
| D0191 | 26 | 25 | $0.00 | |
| D0274 | 50 | 44 | $0.00 |