LEONARD ATTISANO DMD PA
NPI: 1285993147
· MANCHESTER, NH 03103
· Dentist
· NPI assigned 05/14/2012
$598.00
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
31 |
$598.00 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
15 |
15 |
$364.00 |
| D1206 |
Topical application of fluoride varnish |
16 |
14 |
$234.00 |