FENTON PROFESSIONALS LLC
NPI: 1427717602
· FENTON, MI 48430
· Dentist
· NPI assigned 12/15/2021
Provider Details
| Authorized Official | WEILAND, MITCH (ASSISTANT CONTROLLER) |
| NPI Enumeration Date | 12/15/2021 |
Related Entities
Other providers sharing the same authorized official: WEILAND, MITCH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
60 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
31 |
31 |
$828.51 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$475.12 |
| D1208 |
Topical application of fluoride, excluding varnish |
17 |
17 |
$389.25 |