PROFESSIONAL DENTAL ALLIANCE OF HIGHLAND, PLLC
NPI: 1972015170
· HIGHLAND, MI 48357
· Dentist
· NPI assigned 10/27/2017
Provider Details
| Authorized Official | MARLOW, ANNETTE (CREDENTIALING SUPERVISOR) |
| NPI Enumeration Date | 10/27/2017 |
Related Entities
Other providers sharing the same authorized official: MARLOW, ANNETTE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
40 |
$740.60 |
| 2024 |
134 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
15 |
12 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
28 |
28 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
27 |
27 |
$617.49 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$539.75 |
| D1206 |
Topical application of fluoride varnish |
28 |
28 |
$463.88 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$427.52 |
| D0220 |
Intraoral - periapical first radiographic image |
28 |
28 |
$400.40 |
| D0230 |
Intraoral - periapical each additional radiographic image |
24 |
13 |
$258.75 |