ABLE DENTAL PLUS LLC
NPI: 1497581193
· PHOENIX, AZ 85006
· Dental Clinic/Center
· NPI assigned 09/10/2024
$564.07
Total Medicaid Paid
Provider Details
| Authorized Official | OGUNLA, FUNSO (OWNER) |
| NPI Enumeration Date | 09/10/2024 |
Related Entities
Other providers sharing the same authorized official: OGUNLA, FUNSO
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
26 |
$564.07 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
13 |
13 |
$409.37 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$154.70 |