COLDWATER JM DENTAL PC
NPI: 1942811542
· COLDWATER, MI 49036
· Dentist
· NPI assigned 08/17/2020
$625.00
Total Medicaid Paid
Provider Details
| Authorized Official | BARTMAN, JAMIE (OWNER) |
| NPI Enumeration Date | 08/17/2020 |
Related Entities
Other providers sharing the same authorized official: BARTMAN, JAMIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
13 |
$325.00 |
| 2023 |
12 |
$300.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$325.00 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$300.00 |