ANIMAS PEDIATRIC DENTAL GROUP
NPI: 1295823177
· FARMINGTON, NM 87402
· Pediatric Dentist
· NPI assigned 10/10/2006
$0.00
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
81 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
25 |
25 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
19 |
19 |
$0.00 |
| D1120 |
Prophylaxis - child |
37 |
37 |
$0.00 |