GRZEGORZEWSKI, LAWRENCE
NPI: 1336247568
· BURTON, MI 48519
· General Practice Dentistry
· NPI assigned 09/20/2006
$955.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
39 |
$955.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
13 |
13 |
$400.00 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$280.00 |
| D1206 |
Topical application of fluoride varnish |
14 |
14 |
$275.00 |