APPLEWHITE DENTAL IOWA PC
NPI: 1548986334
· DES MOINES, IA 50309
· Dentist
· NPI assigned 10/13/2022
$432.65
Total Medicaid Paid
Provider Details
| Authorized Official | JUSTICE, TY (DIRECTOR, CREDENTIALING) |
| NPI Enumeration Date | 10/13/2022 |
Related Entities
Other providers sharing the same authorized official: JUSTICE, TY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
29 |
$432.65 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
29 |
28 |
$432.65 |