NPI: 1982717708 · OAK PARK, MI 48237 · Dentist · NPI assigned 08/16/2006
| Authorized Official | WOLFSON, MARK (OWNER) |
| NPI Enumeration Date | 08/16/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 476 | $12K |
| 2021 | 660 | $19K |
| 2022 | 608 | $18K |
| 2023 | 608 | $20K |
| 2024 | 572 | $19K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 788 | 788 | $32K |
| D0120 | Periodic oral evaluation - established patient | 960 | 960 | $27K |
| D1206 | Topical application of fluoride varnish | 936 | 936 | $24K |
| D1110 | Prophylaxis - adult | 64 | 64 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 54 | 54 | $965.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 45 | 24 | $434.25 |
| D0220 | Intraoral - periapical first radiographic image | 24 | 24 | $404.75 |
| D0272 | Bitewings - two radiographic images | 12 | 12 | $318.00 |
| D1999 | 41 | 41 | $0.00 |