KEWEENAW DENTAL
NPI: 1407473556
· HOUGHTON, MI 49931
· Dental Clinic/Center
· NPI assigned 07/06/2020
Provider Details
| Authorized Official | NIEMI, LORI (OFFICE MANAGER) |
| NPI Enumeration Date | 07/06/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
128 |
$3K |
| 2021 |
128 |
$3K |
| 2022 |
144 |
$4K |
| 2023 |
83 |
$2K |
| 2024 |
76 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
272 |
272 |
$6K |
| D1120 |
Prophylaxis - child |
137 |
137 |
$5K |
| D1206 |
Topical application of fluoride varnish |
150 |
150 |
$3K |