BAY MILLS INDIAN COMMUNITY
NPI: 1366409237
· SAULT SAINTE MARIE, MI 49783
· Dental Clinic/Center
· NPI assigned 04/26/2006
Provider Details
| Authorized Official | BREAKIE, AUDREY (HHS DIRCTOR) |
| NPI Enumeration Date | 04/26/2006 |
Related Entities
Other providers sharing the same authorized official: BREAKIE, AUDREY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
76 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
27 |
27 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
49 |
49 |
$4K |