ST. CHARLES FAMILY DENTISTRY
NPI: 1518307768
· SAINT CHARLES, MI 48655
· General Practice Dentistry
· NPI assigned 07/02/2013
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
238 |
$6K |
| 2019 |
422 |
$12K |
| 2020 |
226 |
$6K |
| 2021 |
403 |
$11K |
| 2022 |
496 |
$14K |
| 2023 |
345 |
$9K |
| 2024 |
60 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
799 |
798 |
$20K |
| D1206 |
Topical application of fluoride varnish |
800 |
800 |
$18K |
| D1120 |
Prophylaxis - child |
507 |
507 |
$18K |
| D0274 |
Bitewings - four radiographic images |
60 |
60 |
$2K |
| D1110 |
Prophylaxis - adult |
24 |
24 |
$1K |