DZIURGOT, MICHELLE
NPI: 1407812571
· SHELBY TWP, MI 48315
· General Practice Dentistry
· NPI assigned 04/26/2006
$848.40
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
82 |
$0.00 |
| 2021 |
206 |
$319.20 |
| 2022 |
37 |
$529.20 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$529.20 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$319.20 |
| D1999 |
|
301 |
214 |
$0.00 |