BELTON FAMILY DENTAL PLLC
NPI: 1033643770
· BELTON, TX 76513
· Dental Clinic/Center
· NPI assigned 04/19/2017
$931.63
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
15 |
$189.63 |
| 2021 |
42 |
$742.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
42 |
39 |
$527.73 |
| D0120 |
Periodic oral evaluation - established patient |
15 |
14 |
$403.90 |