PALM VALLEY PEDIATRIC DENTISTRY
NPI: 1255705919
· GOODYEAR, AZ 85395
· Pediatric Dentist
· NPI assigned 11/18/2015
Provider Details
| Authorized Official | DOLGHIER, OLGA (DMD) |
| NPI Enumeration Date | 11/18/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
58 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
28 |
28 |
$1K |
| D1206 |
Topical application of fluoride varnish |
30 |
30 |
$580.50 |