CANTON CENTER DENTAL PLLC
NPI: 1598187668
· CANTON, MI 48187
· Dentist
· NPI assigned 01/09/2014
$159K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: FLETCHER, STEVEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
267 |
$6K |
| 2020 |
1,031 |
$30K |
| 2021 |
2,002 |
$55K |
| 2022 |
1,835 |
$44K |
| 2023 |
1,019 |
$24K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,147 |
1,145 |
$50K |
| D0120 |
Periodic oral evaluation - established patient |
1,229 |
1,208 |
$29K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
228 |
119 |
$18K |
| D0220 |
Intraoral - periapical first radiographic image |
940 |
925 |
$13K |
| D0210 |
Intraoral - complete series of radiographic images |
240 |
240 |
$12K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
346 |
346 |
$10K |
| D0274 |
Bitewings - four radiographic images |
307 |
307 |
$9K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,252 |
800 |
$7K |
| D0140 |
Limited oral evaluation - problem focused |
164 |
157 |
$5K |
| D1120 |
Prophylaxis - child |
95 |
95 |
$3K |
| D1206 |
Topical application of fluoride varnish |
136 |
135 |
$3K |
| D0190 |
|
46 |
46 |
$0.00 |
| D4910 |
|
24 |
24 |
$0.00 |