CLIO FAMILY DENTISTRY PLC
NPI: 1366050619
· CLIO, MI 48420
· General Practice Dentistry
· NPI assigned 07/22/2020
Provider Details
| Authorized Official | WITKOW, CHAD (GENERAL DENTIST) |
| NPI Enumeration Date | 07/22/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
304 |
$9K |
| 2021 |
195 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
118 |
118 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
164 |
164 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
137 |
137 |
$3K |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$594.00 |
| D0220 |
Intraoral - periapical first radiographic image |
29 |
29 |
$442.00 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$385.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
27 |
27 |
$225.00 |