ALPINE DENTAL GROUP, INC.
NPI: 1659490878
· GAYLORD, MI 49735
· General Practice Dentistry
· NPI assigned 03/28/2007
Provider Details
| Authorized Official | KOOISTRA, RALPH (PRESIDENT) |
| NPI Enumeration Date | 03/28/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
103 |
$3K |
| 2019 |
69 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
76 |
76 |
$2K |
| D1120 |
Prophylaxis - child |
45 |
45 |
$2K |
| D1206 |
Topical application of fluoride varnish |
51 |
51 |
$1K |