GREENVILLE FAMILY DENTAL, PLC
NPI: 1699275909
· GREENVILLE, MI 48838
· Dentist
· NPI assigned 02/14/2018
Provider Details
| Authorized Official | MEACHUM, TARA (OWNER) |
| NPI Enumeration Date | 02/14/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
526 |
$16K |
| 2021 |
963 |
$25K |
| 2022 |
793 |
$21K |
| 2023 |
50 |
$749.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
648 |
648 |
$23K |
| D0120 |
Periodic oral evaluation - established patient |
798 |
796 |
$19K |
| D1206 |
Topical application of fluoride varnish |
757 |
757 |
$16K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
28 |
14 |
$3K |
| D1110 |
Prophylaxis - adult |
27 |
27 |
$1K |
| D1351 |
Sealant - per tooth |
33 |
12 |
$841.00 |
| D0272 |
Bitewings - two radiographic images |
28 |
28 |
$625.00 |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$432.00 |