PROFESSIONAL DENTAL ASSOCIATES PC
NPI: 1992863401
· BIG RAPIDS, MI 49307
· General Practice Dentistry
· NPI assigned 12/05/2006
Provider Details
| Authorized Official | MATHEWSON, KEVIN (DENTIST OWNER) |
| NPI Enumeration Date | 12/05/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$322.89 |
| 2019 |
12 |
$264.00 |
| 2020 |
48 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
31 |
31 |
$815.56 |
| D1110 |
Prophylaxis - adult |
16 |
16 |
$672.60 |
| D1208 |
Topical application of fluoride, excluding varnish |
25 |
25 |
$528.00 |