INTRINSIC DENTAL CARE PLC
NPI: 1285286237
· HUNTINGTON WOODS, MI 48070
· General Practice Dentistry
· NPI assigned 07/10/2019
$167K
Total Medicaid Paid
Provider Details
| Authorized Official | TANDEL, SHAMMI (OWNER) |
| NPI Enumeration Date | 07/10/2019 |
Related Entities
Other providers sharing the same authorized official: TANDEL, SHAMMI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
12 |
$508.60 |
| 2021 |
12 |
$431.56 |
| 2022 |
26 |
$913.53 |
| 2023 |
552 |
$165K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2740 |
Crown - porcelain/ceramic |
192 |
94 |
$122K |
| D2950 |
|
206 |
116 |
$33K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
65 |
29 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
63 |
63 |
$3K |
| D1110 |
Prophylaxis - adult |
52 |
52 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
24 |
24 |
$2K |