CORNERSTONE FAMILY DENTISTRY
NPI: 1083746101
· INDIANAPOLIS, IN 46219
· General Practice Dentistry
· NPI assigned 03/12/2007
$293.54
Total Medicaid Paid
Provider Details
| Authorized Official | SIGG, BRYAN (PRESIDENT) |
| NPI Enumeration Date | 03/12/2007 |
Related Entities
Other providers sharing the same authorized official: SIGG, BRYAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
13 |
$293.54 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$293.54 |