NPI: 1952791949 · FORT GRATIOT, MI 48059 · General Practice Dentistry · NPI assigned 01/28/2015
| Authorized Official | BERTOLLINI, JASON (PRM) |
| NPI Enumeration Date | 01/28/2015 |
Other providers sharing the same authorized official: BERTOLLINI, JASON
| Provider | City | State | Total Paid |
|---|---|---|---|
| TAWFIQ ALKILANI DDS PLLC | TRAVERSE CITY | MI | $360K |
| PLEASANT SMILES DENTAL CARE, PLLC | MT PLEASANT | MI | $315K |
| GILL DENTAL PC | LANSING | MI | $195K |
| PLEV BC PLC | EAST SYRACUSE | NY | $142K |
| DR. ELDIB, PLLC | ADRIAN | MI | $81K |
| EPP OREGON LLC | TUALATIN | OR | $57K |
| PLEV SAG, PLC | SAGINAW | MI | $27K |
| PLEV, PC | FLINT | MI | $9K |
| PURA VIDA SMILES, PC | JACKSON | MI | $8K |
| VMLP AH PLC | LAKE ORION | MI | $1K |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 14 | $501.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 14 | 14 | $501.00 |