DELTA OAKS DENTISTRY P.A.
NPI: 1518414184
· ELSA, TX 78543
· 1223G0001X
$787.75
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
30 |
$787.75 |
| 2024 |
40 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0274 |
|
30 |
27 |
$787.75 |
| D0602 |
|
40 |
39 |
$0.00 |