WALK IN FAMILY DENTAL OFF.
NPI: 1295109924
· NEW ROCHELLE, NY 10801
· 122300000X
$770.38
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
28 |
$504.18 |
| 2021 |
12 |
$266.20 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
28 |
28 |
$596.35 |
| D0230 |
|
12 |
12 |
$174.03 |