BEULAH FAMILY DENTISTRY , PLLC
NPI: 1811663982
· BEULAH, MI 49617
· General Practice Dentistry
· NPI assigned 08/19/2021
Provider Details
| Authorized Official | BRUDI, JOSHUA (DENTIST OWNER) |
| NPI Enumeration Date | 08/19/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
137 |
$3K |
| 2023 |
15 |
$420.00 |
| 2024 |
29 |
$942.50 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
101 |
101 |
$2K |
| D1206 |
Topical application of fluoride varnish |
39 |
39 |
$736.36 |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$561.92 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$519.00 |
| D0274 |
Bitewings - four radiographic images |
15 |
15 |
$439.80 |