DR. CLEO BIANCA VIDICAN DDS
NPI 1184065294
Dentist - Oral and Maxillofacial Radiology in Warren, MI

Q: What is Cleo Vidican's NPI number?

The NPI number for Cleo Vidican is 1184065294. It was assigned to this individual provider in the NPPES registry on July 17, 2013. The provider is also known as Clio Vidican Dds.

Q: What is Cleo Vidican's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Radiology, with taxonomy code 1223X0008X.

Q: When was this NPI record last updated?

The NPPES record for Cleo Vidican was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 17, 2013PECOS Enrolled

31389 CREEK SIDE DR, WARREN, MI 48093(586) 596-7172 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 21, 2026, Jan 3, 2022 (2 updates tracked since 2022).

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About Dr. Cleo Bianca Vidican Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CLEO BIANCA VIDICAN DDS (NPI 1184065294) is an individual oral and maxillofacial radiology provider in Warren, Michigan, licensed in Montana (25780) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184065294

Entity TypeIndividualFemale

Primary Taxonomy1223X0008X

Provider Legal NameDR. CLEO BIANCA VIDICANCredential: DDS

Location Address31389 CREEK SIDE DRWarren, MI 48093-5564

Mailing Address31389 Creek Side DrWarren, MI 48093-5564 · (586) 596-7172

Phone(586) 596-7172

Sole ProprietorYes

Enumeration DateJuly 17, 2013

Last NPPES UpdateMay 21, 20262 updates tracked since enumeration

NPPES CertifiedMay 21, 2026

✔ NPI 1184065294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial RadiologyDental Providers

Taxonomy Code1223X0008X

Licenses✔ Licensed in MT · 25780✔ Licensed in TN · 11848✔ Licensed in MN · D13261✔ Licensed in MI · 2901600790

Definition

The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region.

Also ListedDentistTaxonomy 122300000X · License 25780 (MT), 2901600790 (MI), 11848 (TN), D13261 (MN)

31389 CREEK SIDE DR, Warren, MI 48093

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Other Names 1

Former Name (1)Clio Vidican Dds

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Cleo Bianca Vidican Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Cleo Vidican reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Faculty Associates Incorporated

889 mi

Dentist

1600 SW ARCHER RD, D4-6
Gainesville, FL 32610

Reassigned Medicare billing, Florida enrollment
39 clinicians in this Medicare group

NPI 1255383550 (352) 273-6700

Florida Clinical Practice Association Inc

889 mi

Surgery

1600 SW ARCHER RD
Gainesville, FL 32610

Reassigned Medicare billing, Florida enrollment
3,324 clinicians in this Medicare group

NPI 1063463768 (352) 265-7922

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48093 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cleo Vidican's NPI number?

The NPI number for Cleo Vidican is 1184065294. It was assigned to this individual provider in the NPPES registry on July 17, 2013. The provider is also known as Clio Vidican Dds.

Where is Cleo Vidican located?

Cleo Vidican practices at 31389 Creek Side Dr, Warren, MI 48093. The listed phone number is (586) 596-7172.

What is Cleo Vidican's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Radiology, with taxonomy code 1223X0008X.

Is Cleo Vidican enrolled in Medicare?

Yes. Cleo Vidican is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Cleo Vidican's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cleo Vidican reassigns Medicare benefits to 2 organizations: Faculty Associates Incorporated (Gainesville, FL) and Florida Clinical Practice Association Inc (Gainesville, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cleo Vidican's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cleo Vidican accept?

Health plans from Ambetter Health and Ambetter from Superior HealthPlan list Cleo Vidican as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cleo Vidican was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.