MILAN SATA DDS PLLC
NPI: 1144963646
· GRAND BLANC, MI 48507
· Dental Clinic/Center
· NPI assigned 04/14/2022
$843.00
Total Medicaid Paid
Provider Details
| Authorized Official | SATA, MILAN (OWNER) |
| NPI Enumeration Date | 04/14/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
24 |
$843.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
12 |
12 |
$693.00 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$150.00 |