CALEK, MARY
NPI: 1689194227
· TROY, MI 48083
· Pediatric Dentist
· NPI assigned 06/25/2017
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,182 |
$27K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
276 |
276 |
$10K |
| D1206 |
Topical application of fluoride varnish |
274 |
274 |
$6K |
| D0120 |
Periodic oral evaluation - established patient |
160 |
160 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
315 |
73 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
132 |
132 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
25 |
25 |
$1K |