TRU DENTAL MICHIGAN PC
NPI: 1689269979
· LIVONIA, MI 48150
· General Practice Dentistry
· NPI assigned 03/08/2021
Provider Details
| Authorized Official | HAYES, CELIA (CREDENTIALING COORDINATOR) |
| Parent Organization | TRU DENTAL MICHIGAN PC |
| NPI Enumeration Date | 03/08/2021 |
Related Entities
Other providers sharing the same authorized official: HAYES, CELIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
24 |
$875.00 |
| 2023 |
274 |
$7K |
| 2024 |
296 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
251 |
251 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
86 |
86 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
49 |
49 |
$2K |
| D1120 |
Prophylaxis - child |
55 |
55 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
76 |
76 |
$1K |
| D1110 |
Prophylaxis - adult |
14 |
14 |
$710.34 |
| D0230 |
Intraoral - periapical each additional radiographic image |
63 |
63 |
$642.33 |