LUGOFF FAMILY DENTISTRY, LLC
NPI: 1295321198
· LUGOFF, SC 29078
· Dental Clinic/Center
$467.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
24 |
$467.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
12 |
12 |
$272.60 |
| D1206 |
|
12 |
12 |
$194.40 |