STANNARD AND STUDT DENTISTRY PC
NPI: 1902922693
· WATERFORD, MI 48328
· General Practice Dentistry
· NPI assigned 03/22/2007
$533.00
Total Medicaid Paid
Provider Details
| Authorized Official | STANNARD, SEAN (OWNER) |
| NPI Enumeration Date | 03/22/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
27 |
$533.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
15 |
15 |
$308.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$225.00 |