PARK DENTAL PLC
NPI: 1760167589
· LINCOLN PARK, MI 48146
· Dentist
· NPI assigned 06/19/2023
Provider Details
| Authorized Official | BEYDOUN, GHADA (OWNER) |
| NPI Enumeration Date | 06/19/2023 |
Related Entities
Other providers sharing the same authorized official: BEYDOUN, GHADA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
455 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
79 |
33 |
$9K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
89 |
89 |
$4K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
35 |
13 |
$4K |
| D0210 |
Intraoral - complete series of radiographic images |
40 |
40 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
138 |
127 |
$2K |
| D1110 |
Prophylaxis - adult |
31 |
31 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
43 |
29 |
$405.00 |