WATERFORD KIDS DENTAL CLUB, PLLC
NPI: 1689224818
· WATERFORD, MI 48328
· General Practice Dentistry
· NPI assigned 09/19/2019
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
228 |
$6K |
| 2021 |
642 |
$22K |
| 2022 |
638 |
$21K |
| 2023 |
601 |
$22K |
| 2024 |
296 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
816 |
815 |
$33K |
| D1206 |
Topical application of fluoride varnish |
762 |
761 |
$20K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
317 |
317 |
$14K |
| D0140 |
Limited oral evaluation - problem focused |
177 |
172 |
$8K |
| D0120 |
Periodic oral evaluation - established patient |
138 |
138 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
57 |
57 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
108 |
25 |
$916.91 |
| D0220 |
Intraoral - periapical first radiographic image |
30 |
29 |
$462.89 |