WESTWOOD DENTAL, P.C.
NPI: 1720204100
· MONROE, MI 48161
· General Practice Dentistry
· NPI assigned 04/17/2007
$118K
Total Medicaid Paid
Provider Details
| Authorized Official | EIGHMEY, DARRYL (PRESIDENT) |
| NPI Enumeration Date | 04/17/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
818 |
$21K |
| 2019 |
726 |
$19K |
| 2020 |
550 |
$15K |
| 2021 |
740 |
$20K |
| 2022 |
821 |
$21K |
| 2023 |
859 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,143 |
1,143 |
$39K |
| D0120 |
Periodic oral evaluation - established patient |
1,587 |
1,587 |
$37K |
| D1206 |
Topical application of fluoride varnish |
1,390 |
1,390 |
$29K |
| D1110 |
Prophylaxis - adult |
138 |
138 |
$7K |
| D1351 |
Sealant - per tooth |
129 |
12 |
$3K |
| D0272 |
Bitewings - two radiographic images |
101 |
101 |
$2K |
| D0274 |
Bitewings - four radiographic images |
26 |
26 |
$697.20 |