MISTY DENTAL PLLC
NPI: 1033598131
· WASHINGTON, DC 20019
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 05/21/2015
$950.00
Total Medicaid Paid
Provider Details
| Authorized Official | EILAND, DERRICK (DOCTOR/OWNER) |
| NPI Enumeration Date | 05/21/2015 |
Related Entities
Other providers sharing the same authorized official: EILAND, DERRICK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
26 |
$950.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
26 |
26 |
$950.00 |