KINGSTON DENTAL ARTS PLLC
NPI: 1396341525
· KINGSTON, NH 03848
· General Practice Dentistry
· NPI assigned 12/11/2020
$793.48
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
34 |
$793.48 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
19 |
18 |
$522.34 |
| D1208 |
Topical application of fluoride, excluding varnish |
15 |
15 |
$271.14 |