LARRY J WHISENANT PC
NPI: 1396812186
· VERNON, AL 35592
· Dentist
· NPI assigned 11/29/2006
$938.00
Total Medicaid Paid
Provider Details
| Authorized Official | WHISENANT, LARRY (OWNER DENTIST) |
| NPI Enumeration Date | 11/29/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
24 |
$458.00 |
| 2020 |
25 |
$480.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
24 |
24 |
$506.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
25 |
25 |
$432.00 |