WEST MICHIGAN DENTAL PROFESSIONALS
NPI: 1881203990
· CALEDONIA, MI 49316
· Dental Clinic/Center
· NPI assigned 07/24/2020
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
172 |
$4K |
| 2022 |
111 |
$2K |
| 2023 |
122 |
$3K |
| 2024 |
12 |
$279.13 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
187 |
187 |
$4K |
| D1206 |
Topical application of fluoride varnish |
134 |
134 |
$2K |
| D1120 |
Prophylaxis - child |
59 |
59 |
$2K |
| D1110 |
Prophylaxis - adult |
37 |
37 |
$1K |