WYANDOTTE FAMILY DENTAL, PLLC
NPI: 1689823536
· WYANDOTTE, MI 48192
· General Practice Dentistry
· NPI assigned 09/16/2008
Provider Details
| Authorized Official | CLEEREMAN, SUSAN (OWNER) |
| NPI Enumeration Date | 09/16/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
174 |
$5K |
| 2019 |
466 |
$9K |
| 2020 |
477 |
$9K |
| 2021 |
625 |
$12K |
| 2022 |
261 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
457 |
457 |
$11K |
| D0220 |
Intraoral - periapical first radiographic image |
651 |
631 |
$8K |
| D1110 |
Prophylaxis - adult |
126 |
125 |
$6K |
| D1120 |
Prophylaxis - child |
144 |
144 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
194 |
194 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
314 |
284 |
$2K |
| D0274 |
Bitewings - four radiographic images |
74 |
74 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
28 |
28 |
$857.00 |
| D0272 |
Bitewings - two radiographic images |
15 |
15 |
$346.00 |