HARTLAND FAMILY DENTAL PLLC
NPI: 1760586879
· HARTLAND, MI 48353
· Dentist
· NPI assigned 09/11/2006
$953.00
Total Medicaid Paid
Provider Details
| Authorized Official | SMITH, DREW (OWNER) |
| NPI Enumeration Date | 09/11/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
37 |
$953.00 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
25 |
25 |
$667.00 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$286.00 |