DAWN AG KULONGOWSKI, DDS, PC
NPI: 1649664269
· HOLLY, MI 48442
· General Practice Dentistry
· NPI assigned 03/20/2015
Provider Details
| Authorized Official | WAGNER, CHRIS (OFFICE MANAGER) |
| NPI Enumeration Date | 03/20/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
42 |
$732.00 |
| 2021 |
103 |
$3K |
| 2022 |
49 |
$1K |
| 2023 |
69 |
$2K |
| 2024 |
107 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
200 |
200 |
$5K |
| D1110 |
Prophylaxis - adult |
29 |
29 |
$1K |
| D1206 |
Topical application of fluoride varnish |
49 |
49 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
50 |
49 |
$894.00 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$533.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
29 |
25 |
$295.00 |