LEONARD J BARTOSZEWICZ, DDS
NPI: 1669087433
· GRAND RAPIDS, MI 49506
· Dental Clinic/Center
· NPI assigned 09/09/2020
Provider Details
| Authorized Official | ANDERSON, AMY (OFFICE MANAGER) |
| NPI Enumeration Date | 09/09/2020 |
Related Entities
Other providers sharing the same authorized official: ANDERSON, AMY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
184 |
$5K |
| 2021 |
185 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1120 |
Prophylaxis - child |
105 |
105 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
131 |
131 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
100 |
100 |
$2K |
| D1206 |
Topical application of fluoride varnish |
19 |
19 |
$375.00 |
| D0272 |
Bitewings - two radiographic images |
14 |
14 |
$319.44 |