RUSTIC MOUNTAIN DENTISTRY
NPI: 1063983245
· TAYLOR, AZ 85939
· 261QD0000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
74 |
$0.00 |
| 2022 |
51 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
26 |
26 |
$0.00 |
| D1206 |
|
37 |
37 |
$0.00 |
| D1120 |
|
25 |
25 |
$0.00 |
| D1110 |
|
12 |
12 |
$0.00 |
| D0274 |
|
13 |
13 |
$0.00 |
| D0220 |
|
12 |
12 |
$0.00 |