T.L.MIKESELL DDS, PC
NPI: 1841928207
· SUTTONS BAY, MI 49682
· Dental Clinic/Center
· NPI assigned 08/12/2022
Provider Details
| Authorized Official | MIKESELL, THOR (PRESIDENT) |
| NPI Enumeration Date | 08/12/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
79 |
$2K |
| 2023 |
232 |
$7K |
| 2024 |
181 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
214 |
214 |
$6K |
| D1206 |
Topical application of fluoride varnish |
193 |
193 |
$5K |
| D1110 |
Prophylaxis - adult |
41 |
41 |
$2K |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$396.00 |
| D0220 |
Intraoral - periapical first radiographic image |
16 |
16 |
$255.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
16 |
16 |
$135.00 |