SUNKIDZ PEDIATRIC DENTISTRY GROUP PLANTATION LLC
NPI: 1053010892
· PLANTATION, FL 33324
· Pediatric Dentist
· NPI assigned 03/01/2023
$623.00
Total Medicaid Paid
Provider Details
| Authorized Official | PATEL, RITA (DENTIST AND OWNER) |
| NPI Enumeration Date | 03/01/2023 |
Related Entities
Other providers sharing the same authorized official: PATEL, RITA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
45 |
$623.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
16 |
16 |
$320.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$252.00 |
| D1330 |
|
17 |
17 |
$51.00 |