GREAT LAKES FAMILY DENTAL GROUP - MT MORRIS PC
NPI: 1326130469
· MT MORRIS, MI 48458
· General Practice Dentistry
· NPI assigned 09/28/2006
Provider Details
| Authorized Official | HART, PATRICIA (GENERAL MANAGER) |
| NPI Enumeration Date | 09/28/2006 |
Related Entities
Other providers sharing the same authorized official: HART, PATRICIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
510 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
82 |
82 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
149 |
149 |
$4K |
| D1120 |
Prophylaxis - child |
72 |
72 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
112 |
106 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
45 |
45 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
17 |
17 |
$699.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
33 |
28 |
$267.70 |