WILLIAM R DESJARDINS DDS PC
NPI: 1760090278
· EAST JORDAN, MI 49727
· General Practice Dentistry
· NPI assigned 07/21/2020
Provider Details
| Authorized Official | BINGHAM, GAIL (OFFICE MANAGER) |
| NPI Enumeration Date | 07/21/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
111 |
$3K |
| 2021 |
317 |
$8K |
| 2022 |
135 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
279 |
279 |
$6K |
| D1206 |
Topical application of fluoride varnish |
200 |
199 |
$4K |
| D1120 |
Prophylaxis - child |
84 |
83 |
$3K |