TOALDO, LISA
NPI: 1194985465
· MATAMORAS, PA 18336
· General Practice Dentistry
· NPI assigned 06/11/2008
$534.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
25 |
$534.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
12 |
12 |
$333.00 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$201.00 |