JAMES C KOMENDERA DDS PC
NPI: 1942377122
· LAKE ORION, MI 48360
· General Practice Dentistry
· NPI assigned 11/30/2006
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
37 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
12 |
12 |
$504.00 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$348.00 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$312.00 |