STIEBER PEDIATRIC DENTISTRY PLLC
NPI: 1669839130
· PETOSKEY, MI 49770
· Dental Clinic/Center
· NPI assigned 01/28/2016
$108K
Total Medicaid Paid
Provider Details
| Authorized Official | AMATO, JANE (OWNER) |
| NPI Enumeration Date | 01/28/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,348 |
$43K |
| 2019 |
1,215 |
$37K |
| 2020 |
1,026 |
$28K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,162 |
1,161 |
$43K |
| D0120 |
Periodic oral evaluation - established patient |
934 |
933 |
$29K |
| D1206 |
Topical application of fluoride varnish |
1,076 |
1,076 |
$27K |
| D0272 |
Bitewings - two radiographic images |
337 |
337 |
$8K |
| D0220 |
Intraoral - periapical first radiographic image |
67 |
67 |
$1K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
13 |
13 |
$0.00 |