HANLON&SANDERS DMD PC
NPI: 1275925653
· RIVERHEAD, NY 11901
· Pediatric Dentist
· NPI assigned 02/23/2015
$592.01
Total Medicaid Paid
Provider Details
| Authorized Official | SANDERS, TERRY (VICE PRESIDENT) |
| NPI Enumeration Date | 02/23/2015 |
Related Entities
Other providers sharing the same authorized official: SANDERS, TERRY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
28 |
$592.01 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1120 |
Prophylaxis - child |
14 |
14 |
$438.91 |
| D1208 |
Topical application of fluoride, excluding varnish |
14 |
14 |
$153.10 |