CENTRAL MICHIGAN FAMILY DENTISTRY, PLLC
NPI: 1568109726
· MOUNT PLEASANT, MI 48858
· Dental Clinic/Center
· NPI assigned 05/18/2022
Provider Details
| Authorized Official | HENRIE, DERREK (DENTIST) |
| NPI Enumeration Date | 05/18/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
139 |
$3K |
| 2023 |
175 |
$4K |
| 2024 |
38 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
177 |
177 |
$4K |
| D1206 |
Topical application of fluoride varnish |
112 |
111 |
$2K |
| D1120 |
Prophylaxis - child |
50 |
49 |
$2K |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$389.60 |