BIG RAPIDS FAMILY DENTAL PLC
NPI: 1376230979
· BIG RAPIDS, MI 49307
· General Practice Dentistry
· NPI assigned 04/24/2023
Provider Details
| Authorized Official | CAO, ERIC (DENTIST/OWNER) |
| NPI Enumeration Date | 04/24/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
239 |
$9K |
| 2024 |
193 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
127 |
127 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
121 |
121 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
105 |
105 |
$3K |
| D1354 |
|
38 |
12 |
$850.77 |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$762.55 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$627.00 |
| D1206 |
Topical application of fluoride varnish |
17 |
17 |
$364.00 |