AMDENT LTD.
NPI: 1386673432
· WYOMISSING, PA 19610
· Dentist
· NPI assigned 07/01/2006
$331.74
Total Medicaid Paid
Provider Details
| Authorized Official | PETERS, SHANNON (OPERATIONS MANAGER) |
| NPI Enumeration Date | 07/01/2006 |
Related Entities
Other providers sharing the same authorized official: PETERS, SHANNON
| Provider | City | State | Total Paid |
|---|
| AMDENT LTD |
WYOMISSING |
PA |
$6K |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
12 |
$331.74 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$331.74 |