NPI: 1710108287 · CASS CITY, MI 48726 · General Practice Dentistry · NPI assigned 05/01/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 731 | $20K |
| 2019 | 843 | $25K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 480 | 480 | $18K |
| D0120 | Periodic oral evaluation - established patient | 497 | 497 | $13K |
| D1206 | Topical application of fluoride varnish | 517 | 517 | $12K |
| D0272 | Bitewings - two radiographic images | 55 | 55 | $1K |
| D1110 | Prophylaxis - adult | 12 | 12 | $648.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 13 | 13 | $559.00 |