MIKHAI C. TA, DDS, PS
NPI: 1003117946
· CENTRALIA, WA 98531
· Dentist
· NPI assigned 11/09/2010
$433.48
Total Medicaid Paid
Provider Details
| Authorized Official | TA, MIKHAI (OWNER) |
| NPI Enumeration Date | 11/09/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
34 |
$433.48 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
19 |
16 |
$339.92 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
12 |
$93.56 |