ALPINA DENTAL MP LLC
NPI: 1124723721
· MOUNT PLEASANT, WI 53406
· General Practice Dentistry
· NPI assigned 04/03/2023
Provider Details
| Authorized Official | MOLAVI, SASAN (SOLE MEMBER & DENTIST) |
| NPI Enumeration Date | 04/03/2023 |
Related Entities
Other providers sharing the same authorized official: MOLAVI, SASAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
153 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0330 |
Panoramic radiographic image |
46 |
43 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
50 |
47 |
$2K |
| D1206 |
Topical application of fluoride varnish |
43 |
43 |
$1K |
| D1120 |
Prophylaxis - child |
14 |
14 |
$560.90 |