GLADWIN DENTAL CARE, P.C.
NPI: 1699975862
· GLADWIN, MI 48624
· General Practice Dentistry
· NPI assigned 07/24/2007
$104K
Total Medicaid Paid
Provider Details
| Authorized Official | GRANT, CHARLOTTE (VICE PRESIDENT) |
| NPI Enumeration Date | 07/24/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
681 |
$21K |
| 2019 |
946 |
$30K |
| 2020 |
837 |
$25K |
| 2021 |
934 |
$28K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
879 |
879 |
$34K |
| D0120 |
Periodic oral evaluation - established patient |
1,069 |
1,069 |
$28K |
| D1208 |
Topical application of fluoride, excluding varnish |
979 |
978 |
$22K |
| D1110 |
Prophylaxis - adult |
272 |
272 |
$13K |
| D0274 |
Bitewings - four radiographic images |
103 |
103 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
45 |
45 |
$2K |
| D0272 |
Bitewings - two radiographic images |
51 |
51 |
$1K |