JEFFREY J FRITZ
NPI: 1730797655
· GRAND HAVEN, MI 49417
· General Practice Dentistry
· NPI assigned 07/16/2020
Provider Details
| Authorized Official | JORDAN, KELCEY (OFFICE MANAGER) |
| NPI Enumeration Date | 07/16/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
98 |
$2K |
| 2021 |
309 |
$8K |
| 2022 |
258 |
$6K |
| 2023 |
220 |
$6K |
| 2024 |
131 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
496 |
496 |
$11K |
| D1206 |
Topical application of fluoride varnish |
307 |
307 |
$6K |
| D1120 |
Prophylaxis - child |
174 |
174 |
$6K |
| D1110 |
Prophylaxis - adult |
39 |
39 |
$1K |