DENTAL CARE OF CANTON PLLC
NPI: 1326818931
· CANTON, MI 48187
· General Practice Dentistry
· NPI assigned 01/04/2024
Provider Details
| Authorized Official | ATISHA, ANDREW (OWNER) |
| NPI Enumeration Date | 01/04/2024 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
591 |
$37K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0210 |
Intraoral - complete series of radiographic images |
183 |
180 |
$10K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
220 |
220 |
$9K |
| D2950 |
|
48 |
28 |
$8K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
48 |
28 |
$6K |
| D1110 |
Prophylaxis - adult |
55 |
55 |
$3K |
| D1206 |
Topical application of fluoride varnish |
25 |
25 |
$750.00 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$517.33 |