COMFORT DENTAL SPA LIVONIA PLLC
NPI: 1669827812
· LIVONIA, MI 48154
· Dentist
· NPI assigned 04/25/2016
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
74 |
$2K |
| 2022 |
214 |
$4K |
| 2024 |
157 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
205 |
190 |
$4K |
| D1206 |
Topical application of fluoride varnish |
61 |
61 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
101 |
76 |
$986.73 |
| D1110 |
Prophylaxis - adult |
14 |
14 |
$770.00 |
| D0120 |
Periodic oral evaluation - established patient |
27 |
27 |
$769.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$564.00 |
| D0350 |
|
25 |
25 |
$0.00 |