TRU DENTAL MICHIGAN II, PLLC
NPI: 1588249932
· LAPEER, MI 48446
· General Practice Dentistry
· NPI assigned 03/16/2021
$169K
Total Medicaid Paid
Provider Details
| Authorized Official | HAYES, CELIA (CREDENTIALING COORDINATOR) |
| Parent Organization | TRU DENTAL MICHIGAN II, PLLC |
| NPI Enumeration Date | 03/16/2021 |
Related Entities
Other providers sharing the same authorized official: HAYES, CELIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
993 |
$22K |
| 2022 |
1,624 |
$43K |
| 2023 |
1,735 |
$48K |
| 2024 |
1,837 |
$55K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
990 |
990 |
$37K |
| D0120 |
Periodic oral evaluation - established patient |
1,297 |
1,297 |
$32K |
| D1206 |
Topical application of fluoride varnish |
1,244 |
1,244 |
$28K |
| D1110 |
Prophylaxis - adult |
429 |
429 |
$20K |
| D1351 |
Sealant - per tooth |
562 |
75 |
$17K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
138 |
82 |
$15K |
| D0220 |
Intraoral - periapical first radiographic image |
684 |
680 |
$10K |
| D0230 |
Intraoral - periapical each additional radiographic image |
663 |
541 |
$6K |
| D0274 |
Bitewings - four radiographic images |
131 |
130 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
39 |
39 |
$1K |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$200.00 |