MADILL DENTAL COMPANY
NPI: 1285975581
· MADILL, OK 73446
· General Practice Dentistry
· NPI assigned 03/12/2013
$638.92
Total Medicaid Paid
Provider Details
| Authorized Official | WEEMS, MARK (OWNER/DENTIST) |
| NPI Enumeration Date | 03/12/2013 |
Related Entities
Other providers sharing the same authorized official: WEEMS, MARK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
42 |
$638.92 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
27 |
27 |
$366.34 |
| D0120 |
Periodic oral evaluation - established patient |
15 |
15 |
$272.58 |