COMFORT CARE DENTAL OF REXBURG, PLLC
NPI: 1093975211
· REXBURG, ID 83440
· General Practice Dentistry
· NPI assigned 06/11/2008
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | HACKING, LAYNE (OWNER) |
| NPI Enumeration Date | 06/11/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
39 |
$0.00 |
| 2019 |
24 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
25 |
24 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
25 |
24 |
$0.00 |