NPI: 1659681591 · WHITEHALL, MI 49461 · General Practice Dentistry · NPI assigned 10/13/2010
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 702 | $18K |
| 2019 | 310 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 367 | 365 | $12K |
| D1206 | Topical application of fluoride varnish | 411 | 409 | $8K |
| D0120 | Periodic oral evaluation - established patient | 198 | 198 | $4K |
| D1110 | Prophylaxis - adult | 12 | 12 | $648.00 |
| D0272 | Bitewings - two radiographic images | 24 | 24 | $482.00 |