DR. LAWRENCE D PAGE INC.
NPI: 1255531265
· PROVIDENCE, RI 02906
· Dentist
· NPI assigned 07/19/2007
$930.00
Total Medicaid Paid
Provider Details
| Authorized Official | PAGE, LAWRENCE (DENTIST) |
| NPI Enumeration Date | 07/19/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
47 |
$930.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
30 |
29 |
$780.00 |
| D0120 |
Periodic oral evaluation - established patient |
17 |
16 |
$150.00 |