BELMONT DENTISTRY PLC
NPI: 1275987752
· BELMONT, MI 49306
· Dentist
· NPI assigned 04/20/2016
Provider Details
| Authorized Official | KLOOSTER, JOHN (SOLE MEMBER) |
| NPI Enumeration Date | 04/20/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
274 |
$8K |
| 2019 |
386 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
232 |
232 |
$9K |
| D1206 |
Topical application of fluoride varnish |
226 |
226 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
168 |
168 |
$5K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
18 |
13 |
$2K |
| D0272 |
Bitewings - two radiographic images |
16 |
16 |
$312.00 |