MICHELLE KUCERA, DDS, INC.
NPI: 1639591415
· GRASS VALLEY, CA 95945
· Pediatric Dentist
· NPI assigned 01/13/2014
Provider Details
Related Entities
Other providers sharing the same authorized official: KUCERA, MICHELLE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
185 |
$4K |
| 2019 |
270 |
$7K |
| 2020 |
260 |
$6K |
| 2021 |
233 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
472 |
470 |
$13K |
| D1206 |
Topical application of fluoride varnish |
414 |
414 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
36 |
36 |
$1K |
| D0145 |
Oral evaluation for a patient under three years of age |
14 |
14 |
$826.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$792.00 |