CENTRAL AVENUE SPECIALTY, PLLC.
NPI: 1104257963
· PHOENIX, AZ 85012
· Prosthodontist
· NPI assigned 12/04/2013
$672.56
Total Medicaid Paid
Provider Details
| Authorized Official | HERRO, ANTHONY (OWNER) |
| NPI Enumeration Date | 12/04/2013 |
Related Entities
Other providers sharing the same authorized official: HERRO, ANTHONY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
56 |
$672.56 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
22 |
15 |
$403.00 |
| D0220 |
Intraoral - periapical first radiographic image |
34 |
28 |
$269.56 |