KALA FOSTER DDS PLC
NPI: 1750859500
· GAYLORD, MI 49735
· General Practice Dentistry
· NPI assigned 11/09/2018
Provider Details
| Authorized Official | FOSTER, KALA (OWNER DENTIST) |
| NPI Enumeration Date | 11/09/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
218 |
$7K |
| 2020 |
210 |
$6K |
| 2021 |
172 |
$5K |
| 2022 |
254 |
$6K |
| 2023 |
425 |
$11K |
| 2024 |
149 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
640 |
640 |
$16K |
| D1120 |
Prophylaxis - child |
379 |
379 |
$14K |
| D1206 |
Topical application of fluoride varnish |
392 |
392 |
$9K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
17 |
12 |
$2K |