CASCADE FAMILY DENTAL GROUP
NPI: 1497286876
· GRAND RAPIDS, MI 49546
· General Practice Dentistry
· NPI assigned 03/27/2017
$197.51
Total Medicaid Paid
Provider Details
| Authorized Official | BEER, TERESA (INSURANCE SPECIALIST) |
| NPI Enumeration Date | 03/27/2017 |
Related Entities
Other providers sharing the same authorized official: BEER, TERESA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
12 |
$197.51 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$197.51 |