HOOVER FAMILY DENTAL PLLC

NPI: 1578967881 · WARREN, MI 48089 · Dental Clinic/Center · NPI assigned 10/15/2014

$4K

Total Medicaid Paid

275

Total Claims

271

Beneficiaries

Codes Billed

2018-01

First Month

2018-02

Last Month

Provider Details

Authorized Official	KAUR, AMANDEEP (OWNER/ GENERAL DENTIST)
NPI Enumeration Date	10/15/2014

Other providers sharing the same authorized official: KAUR, AMANDEEP

Provider	City	State	Total Paid
AMANDEEP KAUR DDS P.C	WEBSTER	MA	$2.20M
DHARAM BIR BATISH, INC.	EAST LIVERPOOL	OH	$1.39M
AMANDEEP KAUR DDS P.C	PALMER	MA	$1.11M
ADMIRE DENTAL OF MICHIGAN PLLC	SOUTHGATE	MI	$634K
KAY DENTISTRY	GREENWOOD	IN	$7K
AMANDEEP KAUR, M.D., P.A.	LEWISVILLE	TX	$204.36

Year	Claims	Total Paid
2018	275	$4K

Code	Description	Claims	Beneficiaries	Total Paid
D4355		28	28	$1K
D0140	Limited oral evaluation - problem focused	52	52	$811.05
D0274	Bitewings - four radiographic images	46	46	$671.64
D0330	Panoramic radiographic image	25	25	$479.84
D0150	Comprehensive oral evaluation - new or established patient	24	24	$406.69
D1110	Prophylaxis - adult	18	18	$394.80
D0120	Periodic oral evaluation - established patient	18	18	$272.53
D0220	Intraoral - periapical first radiographic image	47	47	$214.46
D0230	Intraoral - periapical each additional radiographic image	17	13	$57.60