MAURICE DENTAL LLC
NPI: 1326818790
· MAURICE, LA 70555
· Dentist
· NPI assigned 01/05/2024
Provider Details
| Authorized Official | MANCUSO, LUKE (OWNER) |
| NPI Enumeration Date | 01/05/2024 |
Related Entities
Other providers sharing the same authorized official: MANCUSO, LUKE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
259 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
114 |
114 |
$4K |
| D1110 |
Prophylaxis - adult |
57 |
57 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
44 |
44 |
$1K |
| D0272 |
Bitewings - two radiographic images |
29 |
29 |
$783.27 |
| D1120 |
Prophylaxis - child |
15 |
15 |
$663.74 |