LASTING IMPRESSION DENTAL GROUP,PLLC
NPI: 1215114574
· HOUSTON, TX 77004
· General Practice Dentistry
· NPI assigned 01/29/2008
$150.72
Total Medicaid Paid
Provider Details
| Authorized Official | SCOTT, ALISON (OWNER) |
| NPI Enumeration Date | 01/29/2008 |
Related Entities
Other providers sharing the same authorized official: SCOTT, ALISON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
14 |
$150.72 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
14 |
13 |
$150.72 |