MI SMILES DENTAL COMSTOCK PARK PLC
NPI: 1548935760
· COMSTOCK PARK, MI 49321
· Dental Clinic/Center
· NPI assigned 08/10/2021
Provider Details
| Authorized Official | ROGERS, LAURA (DIRECTOR OF FINANCE) |
| NPI Enumeration Date | 08/10/2021 |
Related Entities
Other providers sharing the same authorized official: ROGERS, LAURA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
100 |
$3K |
| 2023 |
227 |
$6K |
| 2024 |
277 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
292 |
292 |
$7K |
| D1120 |
Prophylaxis - child |
137 |
137 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
163 |
163 |
$5K |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$542.04 |