NPI: 1942950894 · HOUGHTON LAKE, MI 48629 · Dental Clinic/Center · NPI assigned 03/24/2022
| Authorized Official | KHANAFER, ABRAHAM (OWNER) |
| NPI Enumeration Date | 03/24/2022 |
Other providers sharing the same authorized official: KHANAFER, ABRAHAM
| Provider | City | State | Total Paid |
|---|---|---|---|
| AMERICAN DENTAL SAGINAW | SAGINAW | MI | $31K |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 683 | $19K |
| 2023 | 3,992 | $288K |
| 2024 | 7,240 | $722K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2740 | 925 | 530 | $471K | |
| D2950 | 887 | 564 | $118K | |
| D7210 | 529 | 192 | $65K | |
| D2392 | 615 | 410 | $64K | |
| D2393 | 312 | 222 | $38K | |
| D1110 | 729 | 727 | $33K | |
| D0120 | 1,134 | 1,132 | $29K | |
| D0150 | 756 | 752 | $28K | |
| D1120 | 723 | 722 | $28K | |
| D4341 | 318 | 110 | $27K | |
| D0210 | 439 | 436 | $27K | |
| D1206 | 922 | 922 | $23K | |
| D0140 | 588 | 575 | $21K | |
| D0220 | 1,369 | 1,311 | $20K | |
| D0274 | 391 | 390 | $12K | |
| D0230 | 846 | 582 | $7K | |
| D2391 | 86 | 66 | $7K | |
| D1351 | 196 | 27 | $6K | |
| D0330 | 44 | 43 | $2K | |
| D1208 | 66 | 66 | $1K | |
| D4910 | 13 | 13 | $909.00 | |
| D0272 | 27 | 27 | $596.68 |