RICK, DONNA
NPI: 1699889329
· FRUITPORT, MI 49415
· General Practice Dentistry
· NPI assigned 08/19/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
39 |
$1K |
| 2019 |
47 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
25 |
25 |
$960.00 |
| D0120 |
Periodic oral evaluation - established patient |
32 |
32 |
$896.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
29 |
29 |
$672.00 |