COON, GRAYDON
NPI: 1417174822
· PORTAGE, MI 49002
· Dentist
· NPI assigned 04/19/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$192.00 |
| 2022 |
26 |
$517.79 |
| 2023 |
97 |
$3K |
| 2024 |
77 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
148 |
148 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
39 |
39 |
$1K |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$570.00 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$528.00 |