ELAINE GANTZ, D.D.S., P.C.
NPI: 1598979676
· WATERFORD, MI 48328
· Dentist
· NPI assigned 05/09/2007
Provider Details
| Authorized Official | GOERINGER, KAREN (ADMINISTRATOR) |
| NPI Enumeration Date | 05/09/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
14 |
$492.00 |
| 2019 |
167 |
$5K |
| 2020 |
96 |
$3K |
| 2021 |
44 |
$1K |
| 2022 |
88 |
$2K |
| 2023 |
97 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
154 |
154 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
178 |
178 |
$5K |
| D1206 |
Topical application of fluoride varnish |
174 |
174 |
$4K |