JACK OSTROWSKI DDS PLLC
NPI: 1811500036
· LOWELL, MI 49331
· Dental Clinic/Center
· NPI assigned 08/27/2020
Provider Details
Related Entities
Other providers sharing the same authorized official: OSTROWSKI, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
13 |
$336.00 |
| 2022 |
55 |
$1K |
| 2023 |
43 |
$791.81 |
| 2024 |
56 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
104 |
104 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
51 |
51 |
$1K |
| D1120 |
Prophylaxis - child |
12 |
12 |
$336.00 |