NPI: 1306992599 · BELLEVILLE, MI 48111 · General Practice Dentistry · NPI assigned 01/28/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 25 | $837.41 |
| 2020 | 165 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 70 | 70 | $2K |
| D0120 | Periodic oral evaluation - established patient | 44 | 44 | $1K |
| D0274 | Bitewings - four radiographic images | 13 | 13 | $273.39 |
| D0220 | Intraoral - periapical first radiographic image | 46 | 45 | $250.70 |
| D0230 | Intraoral - periapical each additional radiographic image | 17 | 17 | $99.29 |