VAN DYKE DENTAL DR ELDER & ASSOCIATES
NPI: 1578001780
· DETROIT, MI 48234
· Dentist
· NPI assigned 02/08/2017
Provider Details
| Authorized Official | ELDER, STEPHEN (PRESIDENT) |
| NPI Enumeration Date | 02/08/2017 |
Related Entities
Other providers sharing the same authorized official: ELDER, STEPHEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
213 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
58 |
58 |
$1K |
| D1120 |
Prophylaxis - child |
25 |
25 |
$983.00 |
| D0140 |
Limited oral evaluation - problem focused |
27 |
25 |
$788.79 |
| D0220 |
Intraoral - periapical first radiographic image |
55 |
53 |
$664.77 |
| D1208 |
Topical application of fluoride, excluding varnish |
28 |
28 |
$649.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
20 |
18 |
$178.20 |