JMG DENTISTRY, PLC
NPI: 1619182011
· NOVI, MI 48377
· General Practice Dentistry
· NPI assigned 05/11/2007
Provider Details
| Authorized Official | GELLER, JUSTIN (OWNER) |
| NPI Enumeration Date | 05/11/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
129 |
$3K |
| 2019 |
185 |
$6K |
| 2020 |
267 |
$7K |
| 2021 |
276 |
$7K |
| 2022 |
295 |
$9K |
| 2023 |
356 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
366 |
366 |
$14K |
| D1208 |
Topical application of fluoride, excluding varnish |
560 |
560 |
$13K |
| D0120 |
Periodic oral evaluation - established patient |
441 |
441 |
$12K |
| D0220 |
Intraoral - periapical first radiographic image |
54 |
54 |
$791.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
74 |
39 |
$612.00 |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$407.00 |