CHRISTIAN DENTAL CARE
NPI: 1164776696
· TEMPLE HILLS, MD 20748
· General Practice Dentistry
· NPI assigned 11/06/2012
$470.04
Total Medicaid Paid
Provider Details
| Authorized Official | PILGRIM, KARL (OWNER) |
| NPI Enumeration Date | 11/06/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
31 |
$470.04 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$299.04 |
| D0220 |
Intraoral - periapical first radiographic image |
19 |
16 |
$171.00 |