WADE FAMILY HOLDINGS LLC
NPI: 1326881723
· MARTINSVILLE, VA 24112
· Dental Clinic/Center
· NPI assigned 06/14/2024
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | WADE, EMILY (OWNER) |
| NPI Enumeration Date | 06/14/2024 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
74 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
30 |
30 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
21 |
21 |
$0.00 |
| D1110 |
Prophylaxis - adult |
23 |
23 |
$0.00 |