NORTH SUNFLOWER MEDICAL CENTER
NPI: 1396049904
· RULEVILLE, MS 38771
· General Practice Dentistry
· NPI assigned 12/23/2010
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | NORRIS, MATT (ADMINISTRATIVE ASSISTANT) |
| NPI Enumeration Date | 12/23/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
267 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
102 |
52 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
98 |
50 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
67 |
34 |
$0.00 |