KIMBALL FAMILY DENTAL
NPI: 1407361546
· KIMBALL, MI 48074
· General Practice Dentistry
· NPI assigned 12/12/2017
Provider Details
| Authorized Official | FAGAN, SUSAN (DDS/OWNER) |
| NPI Enumeration Date | 12/12/2017 |
Related Entities
Other providers sharing the same authorized official: FAGAN, SUSAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
38 |
$772.92 |
| 2022 |
14 |
$348.00 |
| 2023 |
12 |
$270.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
52 |
52 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$201.66 |