CASEVILLE FAMILY DENTISTRY, PC
NPI: 1790215028
· CASEVILLE, MI 48725
· General Practice Dentistry
· NPI assigned 06/19/2017
1,783
Beneficiary Records
Provider Details
| Authorized Official | REDWANTZ, AMY (MANAGER) |
| NPI Enumeration Date | 06/19/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
474 |
$13K |
| 2023 |
731 |
$23K |
| 2024 |
584 |
$19K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
452 |
452 |
$18K |
| D0120 |
Periodic oral evaluation - established patient |
586 |
585 |
$15K |
| D1206 |
Topical application of fluoride varnish |
629 |
628 |
$15K |
| D1110 |
Prophylaxis - adult |
81 |
81 |
$4K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
16 |
12 |
$2K |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$900.00 |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$308.25 |