ACCESS DENTAL-EAST JORDAN, PC
NPI: 1780991976
· EAST JORDAN, MI 49727
· General Practice Dentistry
· NPI assigned 09/09/2010
Provider Details
| Authorized Official | ECKHARDT, TRACI (OFFICE MANAGER) |
| NPI Enumeration Date | 09/09/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
25 |
$572.00 |
| 2023 |
26 |
$703.59 |
| 2024 |
80 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
78 |
78 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
40 |
40 |
$1K |
| D1120 |
Prophylaxis - child |
13 |
13 |
$585.32 |