GARY A. COHEN, D.D.S., P.C.
NPI: 1326897810
· GARDEN CITY, MI 48135
· Dental Clinic/Center
· NPI assigned 05/16/2024
Provider Details
| Authorized Official | SCHABEL, KATHIE (MANAGER) |
| NPI Enumeration Date | 05/16/2024 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
217 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
86 |
86 |
$2K |
| D1110 |
Prophylaxis - adult |
31 |
31 |
$2K |
| D1120 |
Prophylaxis - child |
12 |
12 |
$493.85 |
| D0220 |
Intraoral - periapical first radiographic image |
31 |
31 |
$482.01 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$385.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
32 |
17 |
$315.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
13 |
$304.09 |