MILLIS DENTAL CARE, PC
NPI: 1629567243
· MILLIS, MA 02054
· General Practice Dentistry
· NPI assigned 05/09/2018
Provider Details
| Authorized Official | GRAVELINE, RENEE (CREDENTIALING SPECIALIST) |
| NPI Enumeration Date | 05/09/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
45 |
$2K |
| 2019 |
31 |
$2K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
49 |
49 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$586.00 |
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$307.00 |