RIDDLE MONTGOMERY METHENY DDS INC
NPI: 1134284714
· ELKINS, WV 26241
· Dentist
· NPI assigned 12/26/2006
$925.00
Total Medicaid Paid
Provider Details
| Authorized Official | MONTGOMERY, ROBERT (DENTIST MANAGER SECRETARY) |
| NPI Enumeration Date | 12/26/2006 |
Related Entities
Other providers sharing the same authorized official: MONTGOMERY, ROBERT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
15 |
$375.00 |
| 2019 |
25 |
$550.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
40 |
40 |
$925.00 |