OVIEDA DENTAL CENTER
NPI: 1063594802
· OVIEDO, FL 32765
· General Practice Dentistry
· NPI assigned 10/20/2006
$64.05
Total Medicaid Paid
Provider Details
| Authorized Official | SEOANE, MARITZA (PRESIDENT) |
| NPI Enumeration Date | 10/20/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
50 |
$64.05 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1999 |
|
20 |
16 |
$64.05 |
| D1208 |
|
15 |
15 |
$0.00 |
| D1330 |
|
15 |
15 |
$0.00 |