OSHTEMO FAMILY DENTISTRY PLC
NPI: 1952854739
· KALAMAZOO, MI 49009
· General Practice Dentistry
· NPI assigned 07/28/2016
Provider Details
| Authorized Official | NELSON, CATHERINE (TRANSITION CONSULTANT) |
| NPI Enumeration Date | 07/28/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
219 |
$5K |
| 2019 |
235 |
$4K |
| 2020 |
92 |
$2K |
| 2021 |
109 |
$2K |
| 2022 |
136 |
$1K |
| 2023 |
162 |
$2K |
| 2024 |
35 |
$512.25 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
530 |
530 |
$9K |
| D1206 |
Topical application of fluoride varnish |
320 |
320 |
$4K |
| D1120 |
Prophylaxis - child |
138 |
138 |
$4K |