BYRNSIDE ENTERPRISES, INC.
NPI: 1467720102
· MOUNT JULIET, TN 37122
· Pediatric Dentist
· NPI assigned 12/08/2011
$664.16
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
28 |
$664.16 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$348.46 |
| D1206 |
Topical application of fluoride varnish |
14 |
14 |
$315.70 |