CONTEMPORARY FAMILY DENTAL
NPI: 1962815605
· GRAND RAPIDS, MI 49546
· Dentist
· NPI assigned 06/10/2014
Provider Details
Related Entities
Other providers sharing the same authorized official: DYKSTRA, BRADLEY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
164 |
$5K |
| 2019 |
250 |
$7K |
| 2020 |
377 |
$7K |
| 2021 |
556 |
$15K |
| 2022 |
343 |
$8K |
| 2023 |
448 |
$11K |
| 2024 |
407 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
1,053 |
1,049 |
$23K |
| D1120 |
Prophylaxis - child |
572 |
569 |
$20K |
| D0120 |
Periodic oral evaluation - established patient |
771 |
767 |
$18K |
| D1110 |
Prophylaxis - adult |
25 |
25 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$585.00 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$275.00 |
| D1999 |
|
99 |
78 |
$0.00 |