PERHAM FAMILY DENTISTRY
NPI: 1134300098
· PERHAM, MN 56573
· 261QD0000X
$349.53
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
91 |
$0.00 |
| 2019 |
13 |
$349.53 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
64 |
63 |
$349.53 |
| D1206 |
|
40 |
39 |
$0.00 |