AFFORDABLE DENTURES - PORT ST. LUCIE III, P.A.
NPI: 1295194579
· PORT ST LUCIE, FL 34952
· 122300000X
$895.08
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
26 |
$895.08 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0150 |
|
13 |
13 |
$895.08 |
| D0330 |
|
13 |
13 |
$0.00 |