MICHAEL A. IZZO DDS PC
NPI: 1487263257
· LINCOLN PARK, MI 48146
· General Practice Dentistry
· NPI assigned 07/28/2020
$478.30
Total Medicaid Paid
Provider Details
| Authorized Official | IZZO, MICHAEL (OWNER) |
| NPI Enumeration Date | 07/28/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
24 |
$478.30 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$265.88 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$212.42 |