DENTAL CARE TEAM- HILL ROAD
NPI: 1376153478
· GRAND BLANC, MI 48439
· Dentist
· NPI assigned 08/04/2020
Provider Details
Related Entities
Other providers sharing the same authorized official: JARJOURA, IBRAHIM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
90 |
$3K |
| 2024 |
25 |
$859.15 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
64 |
64 |
$2K |
| D1120 |
Prophylaxis - child |
26 |
26 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$638.90 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$343.03 |