MICHIGAN DENTAL ASSOCIATES - HIGHLAND PC
NPI: 1679094510
· HIGHLAND, MI 48357
· General Practice Dentistry
· NPI assigned 06/30/2017
Provider Details
| Authorized Official | HARP, MARTHA (DIRECTOR OF INSURANCE OPERATIONS) |
| NPI Enumeration Date | 06/30/2017 |
Related Entities
Other providers sharing the same authorized official: HARP, MARTHA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
181 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
22 |
22 |
$903.80 |
| D0220 |
Intraoral - periapical first radiographic image |
48 |
47 |
$695.80 |
| D0210 |
Intraoral - complete series of radiographic images |
19 |
18 |
$695.40 |
| D0120 |
Periodic oral evaluation - established patient |
20 |
20 |
$508.80 |
| D0140 |
Limited oral evaluation - problem focused |
13 |
13 |
$490.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
20 |
18 |
$479.00 |
| D1206 |
Topical application of fluoride varnish |
22 |
22 |
$350.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
17 |
16 |
$145.20 |