PETER RICK JR DDS PLLC
NPI: 1871241406
· GRAND HAVEN, MI 49417
· Dental Clinic/Center
· NPI assigned 03/14/2022
$224.60
Total Medicaid Paid
Provider Details
| Authorized Official | RICK, PETER (PRESIDENT) |
| NPI Enumeration Date | 03/14/2022 |
Related Entities
Other providers sharing the same authorized official: RICK, PETER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
12 |
$224.60 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$224.60 |