HARTLAND PEDIATRIC DENTISTRY
NPI: 1558139352
· HARTLAND, MI 48353
· Pediatric Dentist
· NPI assigned 12/12/2023
Provider Details
| Authorized Official | BURKE, ASHLEY (PEDIATRIC DENTIST) |
| NPI Enumeration Date | 12/12/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
275 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
57 |
56 |
$3K |
| D1120 |
Prophylaxis - child |
55 |
55 |
$2K |
| D1206 |
Topical application of fluoride varnish |
65 |
65 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
48 |
48 |
$879.01 |
| D0230 |
Intraoral - periapical each additional radiographic image |
35 |
15 |
$496.18 |
| D0272 |
Bitewings - two radiographic images |
15 |
15 |
$327.91 |