HANOVER FAMILY DENTISTRY
NPI: 1528203973
· HANOVER, MI 49241
· General Practice Dentistry
· NPI assigned 12/12/2008
1,482
Beneficiary Records
Provider Details
| Authorized Official | BARTMAN, JAMIE (OWNER) |
| NPI Enumeration Date | 12/12/2008 |
Related Entities
Other providers sharing the same authorized official: BARTMAN, JAMIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
438 |
$13K |
| 2019 |
451 |
$12K |
| 2020 |
40 |
$750.75 |
| 2021 |
228 |
$6K |
| 2022 |
203 |
$5K |
| 2023 |
122 |
$4K |
| 2024 |
56 |
$1K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
| D1208 |
Topical application of fluoride, excluding varnish |
683 |
653 |
$14K |
| D1120 |
Prophylaxis - child |
372 |
361 |
$14K |
| D0120 |
Periodic oral evaluation - established patient |
320 |
315 |
$8K |
| D1110 |
Prophylaxis - adult |
124 |
114 |
$6K |
| D0272 |
Bitewings - two radiographic images |
39 |
39 |
$936.00 |