TRU DENTAL MICHIGAN PC
NPI: 1871187195
· DEARBORN HEIGHTS, MI 48125
· General Practice Dentistry
· NPI assigned 02/26/2021
Provider Details
| Authorized Official | HAYES, CELIA (CREDENTIALING COORDINATOR) |
| Parent Organization | TRU DENTAL MICHIGAN PC |
| NPI Enumeration Date | 02/26/2021 |
Related Entities
Other providers sharing the same authorized official: HAYES, CELIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
50 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
14 |
14 |
$492.00 |
| D0120 |
Periodic oral evaluation - established patient |
17 |
17 |
$420.00 |
| D1206 |
Topical application of fluoride varnish |
19 |
19 |
$375.00 |