LIFETIME DENTAL CARE OF MICHIGAN, PC
NPI: 1316305063
· BELLEVILLE, MI 48111
· General Practice Dentistry
· NPI assigned 02/09/2016
Provider Details
| Authorized Official | WALKER, KENDRA (CREDENTIALING TEAM LEAD) |
| Parent Organization | LIFETIME DENTAL CARE OF MICHIGAN, PC |
| NPI Enumeration Date | 02/09/2016 |
Related Entities
Other providers sharing the same authorized official: WALKER, KENDRA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
340 |
$16K |
| 2019 |
362 |
$11K |
| 2020 |
186 |
$5K |
| 2021 |
293 |
$7K |
| 2022 |
440 |
$10K |
| 2023 |
358 |
$9K |
| 2024 |
137 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
544 |
544 |
$20K |
| D0120 |
Periodic oral evaluation - established patient |
723 |
723 |
$18K |
| D1206 |
Topical application of fluoride varnish |
616 |
616 |
$12K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
54 |
18 |
$7K |
| D0274 |
Bitewings - four radiographic images |
57 |
57 |
$2K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
13 |
12 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
27 |
27 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
68 |
67 |
$976.02 |
| D0230 |
Intraoral - periapical each additional radiographic image |
14 |
12 |
$100.87 |