ORION OAKS DENTAL
NPI: 1750826111
· LAKE ORION, MI 48362
· General Practice Dentistry
· NPI assigned 12/21/2016
$984.00
Total Medicaid Paid
Provider Details
| Authorized Official | WHITE, WILLIAM (OWNER) |
| NPI Enumeration Date | 12/21/2016 |
Related Entities
Other providers sharing the same authorized official: WHITE, WILLIAM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
24 |
$984.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
12 |
12 |
$684.00 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$300.00 |