PLYMOUTH ARDENT
NPI: 1326670886
· PLYMOUTH, MI 48170
· Dental Clinic/Center
· NPI assigned 02/12/2020
$816.75
Total Medicaid Paid
Provider Details
| Authorized Official | BURKEEN, LAURA (MANAGER) |
| NPI Enumeration Date | 02/12/2020 |
Related Entities
Other providers sharing the same authorized official: BURKEEN, LAURA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2024 |
27 |
$816.75 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
27 |
27 |
$816.75 |