NPI: 1861134611 · PAW PAW, MI 49079 · General Practice Dentistry · NPI assigned 04/12/2022
| Authorized Official | HALL, RACHEL (OFFICE MANAGER) |
| NPI Enumeration Date | 04/12/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 211 | $6K |
| 2023 | 364 | $13K |
| 2024 | 127 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 213 | 213 | $11K |
| D0120 | Periodic oral evaluation - established patient | 173 | 171 | $4K |
| D1120 | Prophylaxis - child | 125 | 122 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 164 | 162 | $3K |
| D0274 | Bitewings - four radiographic images | 27 | 27 | $990.36 |