EXTRA DENTAL PC
NPI: 1598400293
· SHELBY TOWNSHIP, MI 48316
· Dental Clinic/Center
· NPI assigned 04/28/2022
Provider Details
| Authorized Official | YASEEN, LINA (DENTIST/OWNER) |
| NPI Enumeration Date | 04/28/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
15 |
$616.55 |
| 2024 |
68 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
25 |
25 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
31 |
30 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$417.82 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$231.58 |