CASS COUNTY DENTAL CLINIC, LLC
NPI: 1134422280
· BELTON, MO 64012
· 1223D0001X
$894.95
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$165.12 |
| 2019 |
45 |
$729.83 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
|
46 |
43 |
$598.19 |
| D0120 |
|
12 |
12 |
$296.76 |