AMERISMILE DENTAL
NPI: 1497963813
· BROOKLYN, NY 11204
· Dental Clinic/Center
· NPI assigned 05/18/2007
$245.04
Total Medicaid Paid
Provider Details
| Authorized Official | GOLDER, GREGORY (MANAGER) |
| NPI Enumeration Date | 05/18/2007 |
Related Entities
Other providers sharing the same authorized official: GOLDER, GREGORY
| Provider | City | State | Total Paid |
|---|
| A2Z DENTAL |
MANVILLE |
NJ |
$12K |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
12 |
$245.04 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$245.04 |