BRYAN G THOMAS DDS PC
NPI: 1811034036
· WHITE LAKE, MI 48386
· General Practice Dentistry
· NPI assigned 01/30/2007
$636.00
Total Medicaid Paid
Provider Details
| Authorized Official | THOMAS, BRYAN (PRESIDENT) |
| NPI Enumeration Date | 01/30/2007 |
Related Entities
Other providers sharing the same authorized official: THOMAS, BRYAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
24 |
$636.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$336.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$300.00 |