OKEMOS FAMILY DENTISTRY, P.C.
NPI: 1780121319
· OKEMOS, MI 48864
· Dentist
· NPI assigned 01/20/2017
Provider Details
| Authorized Official | COOK, JUSTIN (PRESIDENT) |
| NPI Enumeration Date | 01/20/2017 |
Related Entities
Other providers sharing the same authorized official: COOK, JUSTIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
24 |
$748.00 |
| 2021 |
25 |
$469.44 |
| 2022 |
13 |
$232.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
38 |
38 |
$802.01 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$440.00 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$207.43 |