DR. RICHARD C RAPPA
NPI: 1104105824
· GROSSE POINTE, MI 48230
· General Practice Dentistry
· NPI assigned 08/11/2011
$731.00
Total Medicaid Paid
Provider Details
| Authorized Official | RAPPA, RICHARD (DENTIST) |
| NPI Enumeration Date | 08/11/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
24 |
$731.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
12 |
12 |
$451.00 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$280.00 |