MICHIGAN RESTORATIVE INSTITUTE, PLLC
NPI: 1508442195
· CANTON, MI 48187
· Dentist
· NPI assigned 03/23/2021
Provider Details
| Authorized Official | SCHAAF, MICHAEL (DIRECTOR OF OPERATIONS) |
| NPI Enumeration Date | 03/23/2021 |
Related Entities
Other providers sharing the same authorized official: SCHAAF, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
428 |
$12K |
| 2022 |
138 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
222 |
222 |
$10K |
| D0120 |
Periodic oral evaluation - established patient |
96 |
96 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
81 |
81 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
30 |
30 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
68 |
67 |
$845.00 |
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$364.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
57 |
40 |
$312.00 |