NOBLE CREEK FAMILY DENITSTRY LLC
NPI: 1053688986
· NOBLESVILLE, IN 46060
· 122300000X
$965.98
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
42 |
$90.32 |
| 2020 |
12 |
$270.96 |
| 2021 |
34 |
$604.70 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
55 |
54 |
$702.25 |
| D1208 |
|
33 |
32 |
$263.73 |