SCHAEFER DENTAL GROUP-EAST LANSING, PLLC
NPI: 1467122218
· EAST LANSING, MI 48823
· Dental Clinic/Center
· NPI assigned 09/14/2021
$757.80
Total Medicaid Paid
Provider Details
| Authorized Official | WORKMAN, BETH (REGIONAL MANAGER) |
| NPI Enumeration Date | 09/14/2021 |
Related Entities
Other providers sharing the same authorized official: WORKMAN, BETH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
37 |
$757.80 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
25 |
25 |
$527.82 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$229.98 |