GULL LAKE DENTAL CARE PC
NPI: 1841345014
· RICHLAND, MI 49083
· Dentist
· NPI assigned 01/25/2007
Provider Details
| Authorized Official | TUCKER, TODD (PRESIDENT) |
| NPI Enumeration Date | 01/25/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
49 |
$1K |
| 2020 |
13 |
$364.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
26 |
26 |
$700.00 |
| D1120 |
Prophylaxis - child |
16 |
16 |
$600.00 |
| D1206 |
Topical application of fluoride varnish |
20 |
20 |
$475.00 |