NPI: 1407836141 · MACOMB, MI 48042 · Pediatric Dentist
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,746 | $205K |
| 2019 | 53 | $566.75 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 1,091 | 1,090 | $44K | |
| D2930 | 155 | 59 | $31K | |
| D1206 | 1,106 | 1,106 | $31K | |
| D0120 | 708 | 708 | $24K | |
| D2392 | 158 | 93 | $20K | |
| D0150 | 207 | 207 | $13K | |
| D0272 | 437 | 437 | $12K | |
| D0240 | 339 | 203 | $7K | |
| D0145 | 147 | 147 | $6K | |
| D1351 | 148 | 43 | $5K | |
| D0220 | 178 | 176 | $3K | |
| D7140 | 40 | 26 | $3K | |
| D0140 | 45 | 45 | $3K | |
| D2391 | 24 | 16 | $2K | |
| D0230 | 16 | 15 | $218.90 |