NPI: 1477503399 · EASTPOINTE, MI 48021 · General Practice Dentistry · NPI assigned 05/11/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 36 | $1K |
| 2019 | 113 | $3K |
| 2020 | 241 | $7K |
| 2021 | 307 | $9K |
| 2022 | 299 | $8K |
| 2023 | 378 | $11K |
| 2024 | 186 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 673 | 673 | $18K |
| D1120 | Prophylaxis - child | 356 | 356 | $13K |
| D1208 | Topical application of fluoride, excluding varnish | 378 | 378 | $9K |
| D1206 | Topical application of fluoride varnish | 103 | 103 | $3K |
| D1110 | Prophylaxis - adult | 26 | 26 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 24 | 24 | $425.04 |