MICHIGAN DENTISTS PLLC
NPI: 1376152504
· JACKSON, MI 49201
· Point of Service
· NPI assigned 07/23/2020
Provider Details
| Authorized Official | NOTTEN, CHERYL (OFFICE MANAGER) |
| NPI Enumeration Date | 07/23/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
42 |
$976.00 |
| 2023 |
140 |
$4K |
| 2024 |
25 |
$603.31 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
112 |
111 |
$2K |
| D1110 |
Prophylaxis - adult |
24 |
24 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
45 |
45 |
$1K |
| D1120 |
Prophylaxis - child |
26 |
26 |
$906.00 |