NEW LONDON FAMILY DENTAL LLC
NPI: 1154890549
· NEW LONDON, WI 54961
· Dental Clinic/Center
· NPI assigned 11/15/2018
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | THORPE, KAYLA (OFFICE MANAGER) |
| NPI Enumeration Date | 11/15/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
12 |
$0.00 |
| 2020 |
12 |
$0.00 |
| 2023 |
89 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
29 |
15 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
84 |
54 |
$0.00 |