OKEMOS SMILE CENTER OF MICHIGAN PLLC
NPI: 1427763119
· OKEMOS, MI 48864
· Dental Clinic/Center
· NPI assigned 01/18/2023
Provider Details
| Authorized Official | GRIMM, KEVIN (PROVIDER/OWNER) |
| NPI Enumeration Date | 01/18/2023 |
Related Entities
Other providers sharing the same authorized official: GRIMM, KEVIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
34 |
$581.52 |
| 2024 |
156 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
133 |
109 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
45 |
41 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$588.00 |