GARLAND TOOTH FAIRY, PLLC
NPI: 1164157194
· FRISCO, TX 75035
· 122300000X
$518.43
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
50 |
$518.43 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
|
25 |
25 |
$251.20 |
| D0230 |
|
13 |
13 |
$149.63 |
| D1208 |
|
12 |
12 |
$117.60 |