ANDERSON FAMILY AND COSMETIC DENTISTRY
NPI: 1194290999
· HOLLAND, MI 49424
· 1223G0001X
$392.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
25 |
$392.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
|
12 |
12 |
$210.00 |
| D1206 |
|
13 |
13 |
$182.00 |