COMMUNITY DENTISTRY PLUS,P,C
NPI: 1689798530
· LATHRUP VILLAGE, MI 48076
· General Practice Dentistry
· NPI assigned 03/18/2007
Provider Details
| Authorized Official | KASSAB, KHAYRI (OWNER DENTIST) |
| NPI Enumeration Date | 03/18/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
24 |
$771.16 |
| 2019 |
82 |
$2K |
| 2020 |
14 |
$298.18 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
44 |
44 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
63 |
61 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$141.52 |