NPI: 1750747655 · TRAVERSE CITY, MI 49684 · General Practice Dentistry
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 303 | $14K |
| 2022 | 621 | $27K |
| 2023 | 1,250 | $74K |
| 2024 | 3,145 | $246K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7140 | 1,702 | 394 | $137K | |
| D0210 | 1,064 | 1,064 | $57K | |
| D7210 | 348 | 133 | $51K | |
| D0150 | 1,257 | 1,256 | $46K | |
| D2392 | 250 | 146 | $29K | |
| D5130 | 12 | 12 | $10K | |
| D2740 | 21 | 12 | $8K | |
| D0140 | 143 | 140 | $7K | |
| D1110 | 105 | 104 | $5K | |
| D2391 | 46 | 29 | $4K | |
| D0330 | 59 | 59 | $3K | |
| D1206 | 204 | 203 | $2K | |
| D4346 | 27 | 27 | $1K | |
| D1120 | 14 | 13 | $440.00 | |
| D0220 | 13 | 13 | $208.50 | |
| D4921 | 54 | 15 | $0.00 |