NEW YOU DENTAL MANAGEMENT- SOUTHFIELD
NPI: 1619561503
· SOUTHFIELD, MI 48076
· Dental Clinic/Center
· NPI assigned 02/22/2021
Provider Details
| Authorized Official | PAISOPOULOS, JANE (CHIEF OPERATIONS OFFICER) |
| NPI Enumeration Date | 02/22/2021 |
Related Entities
Other providers sharing the same authorized official: PAISOPOULOS, JANE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
26 |
$834.00 |
| 2023 |
291 |
$13K |
| 2024 |
16 |
$777.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
52 |
24 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
45 |
45 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
42 |
39 |
$2K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
17 |
12 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
59 |
51 |
$913.58 |
| D0230 |
Intraoral - periapical each additional radiographic image |
86 |
40 |
$686.67 |
| D1110 |
Prophylaxis - adult |
15 |
15 |
$643.14 |
| D0274 |
Bitewings - four radiographic images |
17 |
16 |
$534.35 |