NPI: 1396295721 · CALUMET, MI 49913 · General Practice Dentistry · NPI assigned 10/10/2016
Authorized official HODGES, TREVOR controls 14+ related entities in our dataset. Read more
| Authorized Official | HODGES, TREVOR (CEO) |
| NPI Enumeration Date | 10/10/2016 |
Other providers sharing the same authorized official: HODGES, TREVOR
| Provider | City | State | Total Paid |
|---|---|---|---|
| UPPER GREAT LAKES FAMILY HEALTH CENTER | HANCOCK | MI | $4.08M |
| UPPER GREAT LAKES FAMILY HEALTH CENTER | GWINN | MI | $1.84M |
| UPPER GREAT LAKES FAMILY HEALTH CENTER | GWINN | MI | $1.57M |
| UPPER GREAT LAKES FAMILY HEALTH CENTER | MARQUETTE | MI | $1.56M |
| UPPER GREAT LAKES FAMILY HEALTH CENTER | CALUMET | MI | $1.41M |
| UPPER GREAT LAKES FAMILY HEALTH CENTER | GWINN | MI | $1.27M |
| UPPER GREAT LAKES FAMILY HEALTH CENTER | HOUGHTON | MI | $955K |
| UPPER GREAT LAKES FAMILY HEALTH CENTER | LAKE LINDEN | MI | $350K |
| UPPER GREAT LAKES FAMILY HEALTH CENTER | MENOMINEE | MI | $337K |
| UPPER GREAT LAKES FAMILY HEALTH CENTER | ONTONAGON | MI | $167K |
| UPPER GREAT LAKES FAMILY HEALTH CENTER | IRON RIVER | MI | $164K |
| UPPER GREAT LAKES FAMILY HEALTH CENTER | HANCOCK | MI | $32K |
| UPPER GREAT LAKES FAMILY HEALTH CENTER | IRON RIVER | MI | $31K |
| UPPER GREAT LAKES FAMILY HEALTH CENTER | LAKE LINDEN | MI | $24K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,900 | $123K |
| 2019 | 1,836 | $178K |
| 2020 | 1,946 | $123K |
| 2021 | 3,179 | $171K |
| 2022 | 2,546 | $133K |
| 2023 | 1,928 | $104K |
| 2024 | 2,188 | $115K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 2,417 | 2,409 | $218K |
| D7140 | Extraction, erupted tooth or exposed root | 1,877 | 1,046 | $174K |
| D0140 | Limited oral evaluation - problem focused | 1,352 | 1,332 | $128K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 767 | 663 | $119K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 657 | 515 | $75K |
| D0120 | Periodic oral evaluation - established patient | 1,489 | 1,482 | $61K |
| D0150 | Comprehensive oral evaluation - new or established patient | 580 | 575 | $58K |
| D1120 | Prophylaxis - child | 816 | 806 | $33K |
| D1206 | Topical application of fluoride varnish | 1,644 | 1,628 | $26K |
| D0274 | Bitewings - four radiographic images | 1,170 | 1,166 | $20K |
| D0330 | Panoramic radiographic image | 381 | 380 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 1,112 | 1,083 | $8K |
| D0210 | Intraoral - complete series of radiographic images | 42 | 42 | $3K |
| D1351 | Sealant - per tooth | 100 | 37 | $3K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 20 | 15 | $3K |
| D1354 | 71 | 55 | $2K | |
| D2331 | 14 | 13 | $2K | |
| D2330 | 15 | 12 | $2K | |
| D0191 | 83 | 83 | $1K | |
| D0272 | Bitewings - two radiographic images | 61 | 61 | $1K |
| D1330 | 823 | 806 | $0.00 | |
| D3120 | 12 | 12 | $0.00 | |
| D1310 | 20 | 20 | $0.00 |