NPI: 1750834180 · EASTPOINTE, MI 48021 · Dentist · NPI assigned 08/02/2016
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 116 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 45 | 28 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 28 | 27 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 30 | 29 | $687.44 |
| D0220 | Intraoral - periapical first radiographic image | 13 | 13 | $138.80 |