LAKE MICHIGAN ENDODONTICS OF GRAND HAVEN PLLC
NPI: 1467195958
· GRAND HAVEN, MI 49417
· Endodontist
· NPI assigned 04/14/2022
$348K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
301 |
$47K |
| 2023 |
416 |
$49K |
| 2024 |
1,122 |
$252K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D3330 |
Endodontic therapy, molar tooth (excluding final restoration) |
307 |
293 |
$249K |
| D2950 |
|
248 |
221 |
$51K |
| D0140 |
Limited oral evaluation - problem focused |
496 |
492 |
$32K |
| D0220 |
Intraoral - periapical first radiographic image |
628 |
598 |
$12K |
| D0230 |
Intraoral - periapical each additional radiographic image |
160 |
159 |
$2K |