AMAZING DENTAL PLLC
NPI: 1043850134
· YPSILANTI, MI 48197
· Dental Clinic/Center
· NPI assigned 01/07/2020
$462.89
Total Medicaid Paid
Provider Details
| Authorized Official | NAJOR, NAWRAS (MEMBER) |
| NPI Enumeration Date | 01/07/2020 |
Related Entities
Other providers sharing the same authorized official: NAJOR, NAWRAS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
12 |
$462.89 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
12 |
12 |
$462.89 |