FAMILY DENTISTRY OF CALEDONIA
NPI: 1942333497
· CALEDONIA, MI 49316
· General Practice Dentistry
· NPI assigned 03/13/2007
Provider Details
| Authorized Official | SCOTT, GARY (PRESIDENT) |
| NPI Enumeration Date | 03/13/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
684 |
$22K |
| 2019 |
536 |
$17K |
| 2020 |
64 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
498 |
497 |
$14K |
| D1120 |
Prophylaxis - child |
326 |
326 |
$13K |
| D1206 |
Topical application of fluoride varnish |
355 |
355 |
$9K |
| D1110 |
Prophylaxis - adult |
50 |
50 |
$3K |
| D0274 |
Bitewings - four radiographic images |
55 |
55 |
$2K |