PREMIER DENTAL CARE
NPI: 1386001006
· MANCHESTER, MD 21102
· Durable Medical Equipment & Medical Supplies
· NPI assigned 01/26/2016
$102K
Total Medicaid Paid
Provider Details
| Authorized Official | SOBOL, MICHAEL (OWNER) |
| NPI Enumeration Date | 01/26/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
530 |
$36K |
| 2019 |
701 |
$45K |
| 2020 |
300 |
$19K |
| 2021 |
46 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
1,122 |
987 |
$83K |
| D0140 |
Limited oral evaluation - problem focused |
455 |
403 |
$19K |