COMMUNITY DENTAL CLINIC
NPI: 1114241494
· TOPEKA, IN 46571
· General Practice Dentistry
· NPI assigned 03/16/2010
$210.00
Total Medicaid Paid
Provider Details
| Authorized Official | LENISKI, LISA (CLINIC DIRECTOR) |
| NPI Enumeration Date | 03/16/2010 |
Related Entities
Other providers sharing the same authorized official: LENISKI, LISA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
12 |
$210.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$210.00 |