MARY BERNONA STEVENS DDS, PLLC
NPI: 1528678364
· GRAND RAPIDS, MI 49534
· Dental Clinic/Center
· NPI assigned 08/06/2020
Provider Details
| Authorized Official | STEVENS, MARY (OWNER) |
| NPI Enumeration Date | 08/06/2020 |
Related Entities
Other providers sharing the same authorized official: STEVENS, MARY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
15 |
$672.20 |
| 2021 |
212 |
$7K |
| 2022 |
178 |
$6K |
| 2023 |
82 |
$2K |
| 2024 |
57 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
364 |
364 |
$9K |
| D1110 |
Prophylaxis - adult |
180 |
180 |
$8K |