JACK D. STEELE, D.M.D., FAMILY DENTISTRY, L.L.C.
NPI: 1003436924
· MC CONNELLSBURG, PA 17233
· Dentist
· NPI assigned 04/21/2020
$488.40
Total Medicaid Paid
Provider Details
| Authorized Official | STEELE, JACK (DENTIST/OWNER) |
| NPI Enumeration Date | 04/21/2020 |
Related Entities
Other providers sharing the same authorized official: STEELE, JACK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
13 |
$261.80 |
| 2021 |
12 |
$226.60 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
25 |
25 |
$488.40 |