KENNETH H. DOLAN II DDS PLLC
NPI: 1366870818
· CHARLESTON, WV 25304
· General Practice Dentistry
· NPI assigned 10/21/2013
$819.50
Total Medicaid Paid
Provider Details
| Authorized Official | DOLAN, LINDSEY (OFFICE MANAGER) |
| NPI Enumeration Date | 10/21/2013 |
Related Entities
Other providers sharing the same authorized official: DOLAN, LINDSEY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
27 |
$819.50 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
13 |
13 |
$544.50 |
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$275.00 |