GREAT LAKES FAMILY DENTAL GROUP-CHARLOTTE, P.C.
NPI: 1679963987
· CHARLOTTE, MI 48813
· General Practice Dentistry
· NPI assigned 01/26/2015
Provider Details
| Authorized Official | PALSHAN, HELDA (ASSISTANT CORPORATE MANAGER) |
| NPI Enumeration Date | 01/26/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
104 |
$3K |
| 2020 |
159 |
$4K |
| 2021 |
64 |
$1K |
| 2022 |
172 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
155 |
155 |
$6K |
| D1206 |
Topical application of fluoride varnish |
220 |
220 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
124 |
124 |
$3K |