DELTA ORTHODONTIC SPECIALISTS LLC
NPI: 1174275762
· VICKSBURG, MS 39183
· Dental Clinic/Center
· NPI assigned 01/25/2022
$420.77
Total Medicaid Paid
Provider Details
| Authorized Official | BROWN, EDWARD (OWNER/DENTIST) |
| NPI Enumeration Date | 01/25/2022 |
Related Entities
Other providers sharing the same authorized official: BROWN, EDWARD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
17 |
$420.77 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0330 |
Panoramic radiographic image |
17 |
16 |
$420.77 |