COMFORT DDS PC
NPI: 1588862569
· CLINTON TWP, MI 48038
· Dentist
· NPI assigned 07/11/2007
$931.94
Total Medicaid Paid
Provider Details
| Authorized Official | JOH, GARY (OWNER) |
| NPI Enumeration Date | 07/11/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
40 |
$931.94 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
26 |
26 |
$624.42 |
| D1208 |
Topical application of fluoride, excluding varnish |
14 |
14 |
$307.52 |