NORTHEAST IMPLANT & ORAL SURGERY, PC
NPI: 1215152574
· DANBURY, CT 06810
· 204E00000X
$442.20
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
32 |
$442.20 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9310 |
|
16 |
16 |
$442.20 |
| D1999 |
|
16 |
14 |
$0.00 |