POTOCSKY, KEVIN
NPI: 1316961329
· ALLEN PARK, MI 48101
· Dentist
· NPI assigned 07/26/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
26 |
$498.60 |
| 2019 |
27 |
$759.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
28 |
28 |
$606.60 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$451.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$200.00 |