DONALD P. ROTEN, DDS, P.A.
NPI: 1124156476
· RIPLEY, MS 38663
· Dental Clinic/Center
· NPI assigned 03/01/2007
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | ROTEN, DONALD (PRESIDENT) |
| NPI Enumeration Date | 03/01/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
64 |
$0.00 |
| 2019 |
141 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0272 |
Bitewings - two radiographic images |
32 |
13 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
64 |
26 |
$0.00 |
| D1120 |
Prophylaxis - child |
32 |
13 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
77 |
31 |
$0.00 |