MATTHES, LELA
NPI: 1346551108
· NEW BRAUNFELS, TX 78130
· Pediatric Dentist
· NPI assigned 06/27/2010
$580.65
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
48 |
$580.65 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
17 |
13 |
$404.25 |
| D1206 |
Topical application of fluoride varnish |
19 |
15 |
$176.40 |
| D0603 |
|
12 |
12 |
$0.00 |