FRATT DENTAL CORPORATION
NPI: 1417164237
· SOUTH GATE, CA 90280
· General Practice Dentistry
· NPI assigned 05/17/2007
$260.00
Total Medicaid Paid
Provider Details
| Authorized Official | FRATT, DENNIS (OWNER) |
| NPI Enumeration Date | 05/17/2007 |
Related Entities
Other providers sharing the same authorized official: FRATT, DENNIS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$0.00 |
| 2019 |
38 |
$260.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
50 |
50 |
$260.00 |