ASSISTANCE LEAGUE OF ORANGE
NPI: 1043623143
· ORANGE, CA 92866
· Voluntary or Charitable Agency
· NPI assigned 06/05/2014
$720.00
Total Medicaid Paid
Provider Details
| Authorized Official | HANCOCK, THERESE (DENTAL CHAIRMAN) |
| NPI Enumeration Date | 06/05/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
37 |
$720.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
25 |
25 |
$720.00 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$0.00 |