PETER D. RICK, DDS, PC
NPI: 1477186146
· GRAND HAVEN, MI 49417
· Dental Clinic/Center
· NPI assigned 02/20/2020
$224.00
Total Medicaid Paid
Provider Details
| Authorized Official | RICK, PETER (PRESIDENT) |
| NPI Enumeration Date | 02/20/2020 |
Related Entities
Other providers sharing the same authorized official: RICK, PETER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
14 |
$0.00 |
| 2021 |
13 |
$224.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$224.00 |
| D1999 |
|
14 |
13 |
$0.00 |