ELITE DENTAL CARE PLLC
NPI: 1689811788
· WEST BLOOMFIELD, MI 48322
· General Practice Dentistry
· NPI assigned 01/12/2009
Provider Details
| Authorized Official | BAHU, LEENA (OWNER) |
| NPI Enumeration Date | 01/12/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
12 |
$216.79 |
| 2024 |
299 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
97 |
97 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
58 |
58 |
$2K |
| D1206 |
Topical application of fluoride varnish |
44 |
44 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
57 |
49 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$589.90 |
| D0230 |
Intraoral - periapical each additional radiographic image |
43 |
24 |
$473.17 |