NPI: 1720010812 · TECUMSEH, MI 49286 · General Practice Dentistry · NPI assigned 07/07/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 859 | $27K |
| 2019 | 752 | $21K |
| 2020 | 66 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 540 | 540 | $19K |
| D0120 | Periodic oral evaluation - established patient | 536 | 536 | $13K |
| D1208 | Topical application of fluoride, excluding varnish | 522 | 522 | $11K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 53 | 29 | $5K |
| D0272 | Bitewings - two radiographic images | 26 | 26 | $600.00 |