EASTSIDE FAMILY DENTISTRY
NPI: 1649595232
· SHELBY TOWNSHIP, MI 48315
· General Practice Dentistry
· NPI assigned 04/07/2010
Provider Details
| Authorized Official | KEYORKGY, FADI (OWNER) |
| NPI Enumeration Date | 04/07/2010 |
Related Entities
Other providers sharing the same authorized official: KEYORKGY, FADI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
507 |
$16K |
| 2020 |
510 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
241 |
239 |
$10K |
| D0120 |
Periodic oral evaluation - established patient |
326 |
324 |
$9K |
| D1208 |
Topical application of fluoride, excluding varnish |
321 |
319 |
$8K |
| D1110 |
Prophylaxis - adult |
86 |
85 |
$4K |
| D0274 |
Bitewings - four radiographic images |
43 |
42 |
$1K |