H2G DENTAL PLLC
NPI: 1427527779
· MARINE CITY, MI 48039
· General Practice Dentistry
· NPI assigned 11/15/2018
Provider Details
| Authorized Official | GROENEVELD, ERIC (MEMBER) |
| Parent Organization | MOTOR CITY DENTAL PARTNERS LLC |
| NPI Enumeration Date | 11/15/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
40 |
$1K |
| 2021 |
630 |
$18K |
| 2022 |
48 |
$1K |
| 2023 |
58 |
$1K |
| 2024 |
94 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
225 |
225 |
$9K |
| D1206 |
Topical application of fluoride varnish |
242 |
241 |
$6K |
| D0120 |
Periodic oral evaluation - established patient |
213 |
213 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
81 |
81 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
51 |
51 |
$799.11 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$486.00 |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$350.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
33 |
26 |
$244.12 |