GREAT LAKES FAMILY DENTAL GROUP-ST. JOSEPH
NPI: 1598117616
· SAINT JOSEPH, MI 49085
· Dentist
· NPI assigned 07/13/2016
Provider Details
| Authorized Official | HART, PATRICIA (CORPORATE MANAGER) |
| NPI Enumeration Date | 07/13/2016 |
Related Entities
Other providers sharing the same authorized official: HART, PATRICIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
27 |
$616.00 |
| 2021 |
121 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
119 |
119 |
$3K |
| D1120 |
Prophylaxis - child |
29 |
29 |
$760.00 |