CHARLEVOIX FAMILY DENTISTRY PLC
NPI: 1417066077
· CHARLEVOIX, MI 49720
· General Practice Dentistry
· NPI assigned 08/29/2006
Provider Details
| Authorized Official | PARAMO, GLENN (OWNER DENTIST) |
| NPI Enumeration Date | 08/29/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
61 |
$1K |
| 2021 |
15 |
$252.00 |
| 2023 |
24 |
$648.88 |
| 2024 |
45 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
72 |
72 |
$2K |
| D1120 |
Prophylaxis - child |
30 |
30 |
$1K |
| D1206 |
Topical application of fluoride varnish |
43 |
42 |
$904.46 |