SEAWAY DENTAL GROUP PLLC
NPI: 1518598069
· PORT HURON, MI 48060
· General Practice Dentistry
· NPI assigned 02/03/2020
Provider Details
| Authorized Official | GUASS, CHESTER (DENTIST) |
| NPI Enumeration Date | 02/03/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
50 |
$2K |
| 2022 |
203 |
$7K |
| 2023 |
322 |
$11K |
| 2024 |
27 |
$833.25 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
249 |
249 |
$12K |
| D0120 |
Periodic oral evaluation - established patient |
236 |
236 |
$6K |
| D0220 |
Intraoral - periapical first radiographic image |
53 |
53 |
$851.40 |
| D0274 |
Bitewings - four radiographic images |
25 |
25 |
$707.40 |
| D0230 |
Intraoral - periapical each additional radiographic image |
39 |
38 |
$360.51 |