NORTHERN MICHIGAN FAMILY DENTISTRY PLLC
NPI: 1437428364
· CHEBOYGAN, MI 49721
· Dentist
· NPI assigned 12/21/2011
Provider Details
| Authorized Official | KOENIG, NICOLE (OFFICE MANAGER) |
| Parent Organization | NORTHERN MICHIGAN FAMILY DENTISTRY PLLC |
| NPI Enumeration Date | 12/21/2011 |
Related Entities
Other providers sharing the same authorized official: KOENIG, NICOLE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
104 |
$3K |
| 2019 |
143 |
$5K |
| 2020 |
102 |
$4K |
| 2021 |
87 |
$4K |
| 2022 |
12 |
$660.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
233 |
233 |
$11K |
| D0120 |
Periodic oral evaluation - established patient |
163 |
162 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
40 |
40 |
$960.00 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$480.00 |