MATTSON DENTAL, PLLC
NPI: 1437740313
· GRAND RAPIDS, MI 49546
· Customized Equipment (DME)
· NPI assigned 02/02/2021
Provider Details
| Authorized Official | BOLLINGER, CARMEN (PRACTICE MANAGER) |
| NPI Enumeration Date | 02/02/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
24 |
$472.63 |
| 2022 |
12 |
$162.30 |
| 2023 |
28 |
$610.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
38 |
38 |
$625.62 |
| D0120 |
Periodic oral evaluation - established patient |
26 |
26 |
$619.31 |