REUBEN MOYANA DMD, PC
NPI: 1235682535
· FORT MITCHELL, AL 36856
· Dental Clinic/Center
· NPI assigned 08/03/2016
Provider Details
| Authorized Official | MOYANA, REUBEN (PRESIDENT) |
| NPI Enumeration Date | 08/03/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
45 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
12 |
12 |
$456.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
19 |
18 |
$432.00 |
| D0120 |
Periodic oral evaluation - established patient |
14 |
13 |
$364.00 |