NPI: 1538100482 · CALEDONIA, MI 49316 · General Practice Dentistry · NPI assigned 06/10/2006
| Authorized Official | VAUGHAN, ROBIN (OWNER/DENTIST) |
| NPI Enumeration Date | 06/10/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 55 | $1K |
| 2021 | 81 | $2K |
| 2022 | 303 | $9K |
| 2023 | 342 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 296 | 296 | $7K |
| D1120 | Prophylaxis - child | 190 | 190 | $7K |
| D1206 | Topical application of fluoride varnish | 220 | 220 | $5K |
| D1110 | Prophylaxis - adult | 30 | 30 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 18 | 18 | $846.00 |
| D0274 | Bitewings - four radiographic images | 15 | 15 | $472.10 |
| D0272 | Bitewings - two radiographic images | 12 | 12 | $272.15 |