BRIGHT SIDE DENTAL BLOOMFIELD HILLS
NPI: 1639522980
· BLOOMFIELD HILLS, MI 48302
· General Practice Dentistry
· NPI assigned 07/21/2016
Provider Details
| Authorized Official | SABBAGH, PEATRIS (CHIEF OPERATING OFFICER) |
| NPI Enumeration Date | 07/21/2016 |
Related Entities
Other providers sharing the same authorized official: SABBAGH, PEATRIS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
76 |
$3K |
| 2020 |
72 |
$2K |
| 2021 |
362 |
$11K |
| 2022 |
554 |
$16K |
| 2023 |
1,358 |
$47K |
| 2024 |
364 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
736 |
732 |
$27K |
| D0120 |
Periodic oral evaluation - established patient |
659 |
659 |
$17K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
323 |
321 |
$13K |
| D1110 |
Prophylaxis - adult |
169 |
169 |
$9K |
| D0210 |
Intraoral - complete series of radiographic images |
150 |
150 |
$8K |
| D1206 |
Topical application of fluoride varnish |
283 |
282 |
$7K |
| D1208 |
Topical application of fluoride, excluding varnish |
283 |
283 |
$6K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
17 |
13 |
$2K |
| D0240 |
|
86 |
42 |
$2K |
| D0272 |
Bitewings - two radiographic images |
54 |
54 |
$1K |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$333.00 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
14 |
$165.53 |