MEDVED D.D.S. - GARDNER D.D.S. PICKAWAY DENTAL GROUP LLC
NPI: 1477887958
· CIRCLEVILLE, OH 43113
· General Practice Dentistry
· NPI assigned 09/30/2009
$434.90
Total Medicaid Paid
Provider Details
| Authorized Official | GARDNER, ROBERT (PARTNER/MEMBER) |
| NPI Enumeration Date | 09/30/2009 |
Related Entities
Other providers sharing the same authorized official: GARDNER, ROBERT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
64 |
$434.90 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
12 |
$234.15 |
| D0230 |
Intraoral - periapical each additional radiographic image |
31 |
15 |
$118.00 |
| D0220 |
Intraoral - periapical first radiographic image |
19 |
17 |
$82.75 |