GRAF FAMILY DENTAL LLC
NPI: 1487286001
· WHEELERSBURG, OH 45694
· Dentist
· NPI assigned 02/11/2020
$667.68
Total Medicaid Paid
Provider Details
| Authorized Official | GRAF, THOMAS (OWNER) |
| NPI Enumeration Date | 02/11/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
30 |
$667.68 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
18 |
18 |
$483.18 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$184.50 |