SALINE FAMILY DENTISTRY
NPI: 1891895355
· SALINE, MI 48176
· Dentist
· NPI assigned 09/25/2006
Provider Details
| Authorized Official | BELBEISI, WAFIQ (PRESIDENT DENTIST) |
| NPI Enumeration Date | 09/25/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
12 |
$216.09 |
| 2023 |
135 |
$5K |
| 2024 |
159 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
76 |
76 |
$3K |
| D1110 |
Prophylaxis - adult |
60 |
60 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
84 |
84 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
44 |
42 |
$732.48 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$541.68 |
| D0230 |
Intraoral - periapical each additional radiographic image |
30 |
24 |
$302.00 |