NDOUTOUME, OLIVIA
NPI: 1154878551
· LONGVIEW, TX 75605
· General Practice Dentistry
· NPI assigned 09/02/2016
$67.80
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
96 |
$67.80 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
15 |
15 |
$62.80 |
| D0603 |
|
81 |
80 |
$5.00 |