NPI: 1730262262 · NORTHVILLE, MI 48168 · General Practice Dentistry · NPI assigned 10/20/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 194 | $40K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 52 | 24 | $35K |
| D0150 | Comprehensive oral evaluation - new or established patient | 68 | 68 | $2K |
| D0140 | Limited oral evaluation - problem focused | 28 | 28 | $1K |
| D0210 | Intraoral - complete series of radiographic images | 15 | 15 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 31 | 29 | $599.08 |