CALDERON MI DENTAL PLLC
NPI: 1568940393
· MONROE, MI 48162
· General Practice Dentistry
· NPI assigned 08/03/2018
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
41 |
$1K |
| 2023 |
29 |
$1K |
| 2024 |
531 |
$36K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0210 |
Intraoral - complete series of radiographic images |
198 |
198 |
$13K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
96 |
25 |
$13K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
283 |
282 |
$12K |
| D1206 |
Topical application of fluoride varnish |
24 |
24 |
$365.76 |