NATHAN WALLS DDS PLLC
NPI: 1265678510
· RIPLEY, WV 25271
· General Practice Dentistry
· NPI assigned 12/16/2008
$910.00
Total Medicaid Paid
Provider Details
| Authorized Official | WALLS, NATHAN (OWNER/PRESIDENT) |
| NPI Enumeration Date | 12/16/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$240.00 |
| 2019 |
40 |
$670.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
27 |
27 |
$460.00 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$250.00 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$200.00 |