C & O DENTAL ENTERPRISES PLC
NPI: 1396212759
· LAURENS, IA 50554
· General Practice Dentistry
· NPI assigned 10/24/2018
$506.63
Total Medicaid Paid
Provider Details
| Authorized Official | CLAY, JOHN (OWNER) |
| NPI Enumeration Date | 10/24/2018 |
Related Entities
Other providers sharing the same authorized official: CLAY, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
14 |
$227.72 |
| 2020 |
15 |
$278.91 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
15 |
12 |
$278.91 |
| D1206 |
Topical application of fluoride varnish |
14 |
13 |
$227.72 |