NPI: 1588747463 · COMMERCE TWP, MI 48382 · General Practice Dentistry · NPI assigned 10/23/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 280 | $7K |
| 2020 | 121 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 85 | 85 | $3K |
| D0120 | Periodic oral evaluation - established patient | 96 | 96 | $3K |
| D1206 | Topical application of fluoride varnish | 94 | 94 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 58 | 58 | $972.28 |
| D0230 | Intraoral - periapical each additional radiographic image | 56 | 31 | $489.46 |
| D0274 | Bitewings - four radiographic images | 12 | 12 | $444.00 |