ST JOHNS MARSH DENTAL PC
NPI: 1558530477
· ALGONAC, MI 48001
· Dentist
· NPI assigned 02/25/2008
Provider Details
| Authorized Official | LAZOVSKI, LORA (VICE PRESIDENT) |
| NPI Enumeration Date | 02/25/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
117 |
$3K |
| 2019 |
196 |
$5K |
| 2020 |
122 |
$3K |
| 2021 |
187 |
$5K |
| 2022 |
152 |
$3K |
| 2023 |
234 |
$6K |
| 2024 |
55 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
543 |
542 |
$13K |
| D1206 |
Topical application of fluoride varnish |
401 |
401 |
$8K |
| D1120 |
Prophylaxis - child |
67 |
67 |
$3K |
| D1110 |
Prophylaxis - adult |
38 |
38 |
$2K |
| D0274 |
Bitewings - four radiographic images |
14 |
14 |
$410.57 |