AFFORDABLE DENTIST NEAR ME GRAND PRAIRIE, PLLC
NPI: 1134737919
· GRAND PRAIRIE, TX 75052
· 1223G0001X
$683.85
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
107 |
$683.85 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
24 |
24 |
$683.85 |
| D0603 |
|
83 |
76 |
$0.00 |