GLEN VALLEY DENTISTRY
NPI: 1538100482
· CALEDONIA, MI 49316
· General Practice Dentistry
· NPI assigned 06/10/2006
Provider Details
| Authorized Official | VAUGHAN, ROBIN (OWNER/DENTIST) |
| NPI Enumeration Date | 06/10/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
55 |
$1K |
| 2021 |
81 |
$2K |
| 2022 |
303 |
$9K |
| 2023 |
342 |
$10K |
Billing Codes
| 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 |