LOREN D. BALDUS, D.M.D., P.A.
NPI: 1417028945
· SEARSPORT, ME 04974
· General Practice Dentistry
· NPI assigned 11/13/2006
$660.00
Total Medicaid Paid
Provider Details
| Authorized Official | BALDUS, LOREN (CEO) |
| NPI Enumeration Date | 11/13/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
25 |
$516.00 |
| 2019 |
13 |
$144.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
12 |
12 |
$360.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
26 |
26 |
$300.00 |