MAX AND MANDY DENTAL, PC
NPI: 1558975672
· YPSILANTI, MI 48197
· Dental Clinic/Center
· NPI assigned 09/04/2020
Provider Details
| Authorized Official | MCLAREN, JOHN (PRESIDENT) |
| NPI Enumeration Date | 09/04/2020 |
Related Entities
Other providers sharing the same authorized official: MCLAREN, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
150 |
$7K |
| 2024 |
179 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
31 |
12 |
$4K |
| D1110 |
Prophylaxis - adult |
51 |
51 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
127 |
110 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
29 |
26 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
34 |
34 |
$2K |
| D1206 |
Topical application of fluoride varnish |
14 |
14 |
$420.00 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$406.45 |
| D0230 |
Intraoral - periapical each additional radiographic image |
30 |
29 |
$300.75 |