SAGE DENTAL OF LEBANON, PLLC
NPI: 1093578429
· LEBANON, TN 37087
· Dentist
· NPI assigned 01/30/2024
$307.10
Total Medicaid Paid
Provider Details
| Authorized Official | ROARK, CINDY (SVP & CHIEF CLINICAL OFFICER) |
| NPI Enumeration Date | 01/30/2024 |
Related Entities
Other providers sharing the same authorized official: ROARK, CINDY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2024 |
12 |
$307.10 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$307.10 |