BANDY DENTAL, PLLC
NPI: 1679200190
· HOLLY, MI 48442
· Dental Clinic/Center
· NPI assigned 08/04/2022
Provider Details
| Authorized Official | BANDY, DAVID (OWNER) |
| NPI Enumeration Date | 08/04/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
49 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
15 |
15 |
$473.00 |
| D0120 |
Periodic oral evaluation - established patient |
18 |
18 |
$390.00 |
| D1206 |
Topical application of fluoride varnish |
16 |
16 |
$297.00 |