RESERVOIR SMILES DENTISTRY, PLLC
NPI: 1316458136
· BRANDON, MS 39047
· 261QD0000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
39 |
$0.00 |
| 2022 |
25 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
31 |
26 |
$0.00 |
| D0120 |
|
33 |
27 |
$0.00 |