LOWER COLUMBIA ORAL HEALTH
NPI: 1477508794
· LONGVIEW, WA 98632
· 1223G0001X
$642.04
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$252.10 |
| 2019 |
13 |
$389.94 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
13 |
13 |
$389.94 |
| D0120 |
|
12 |
12 |
$252.10 |