CLARKSTON FAMILY DENTAL
NPI: 1497946636
· CLARKSTON, MI 48346
· General Practice Dentistry
· NPI assigned 08/05/2007
Provider Details
| Authorized Official | FOSTER, JOHN (OWNER) |
| NPI Enumeration Date | 08/05/2007 |
Related Entities
Other providers sharing the same authorized official: FOSTER, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
283 |
$6K |
| 2021 |
435 |
$10K |
| 2022 |
704 |
$16K |
| 2023 |
1,195 |
$32K |
| 2024 |
1,379 |
$33K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
936 |
933 |
$22K |
| D1120 |
Prophylaxis - child |
591 |
588 |
$20K |
| D1206 |
Topical application of fluoride varnish |
970 |
963 |
$19K |
| D1110 |
Prophylaxis - adult |
241 |
240 |
$12K |
| D0220 |
Intraoral - periapical first radiographic image |
532 |
473 |
$8K |
| D0274 |
Bitewings - four radiographic images |
283 |
282 |
$6K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
43 |
27 |
$5K |
| D0230 |
Intraoral - periapical each additional radiographic image |
316 |
225 |
$3K |
| D0330 |
Panoramic radiographic image |
25 |
25 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$470.00 |
| D1999 |
|
47 |
42 |
$0.00 |