LIBERTY LAKE FAMILY DENTISTRY
NPI: 1255658886
· LIBERTY LAKE, WA 99019
· 1223G0001X
$854.27
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
37 |
$854.27 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9440 |
|
18 |
12 |
$499.11 |
| D0140 |
|
19 |
13 |
$355.16 |