LEVIN FAMILY DENTISTRY PC
NPI: 1588965263
· MARSHFIELD, MA 02050
· General Practice Dentistry
· NPI assigned 11/10/2010
$660.00
Total Medicaid Paid
Provider Details
| Authorized Official | LEVIN, MICHAEL (PRESIDENT) |
| NPI Enumeration Date | 11/10/2010 |
Related Entities
Other providers sharing the same authorized official: LEVIN, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
12 |
$312.00 |
| 2021 |
12 |
$348.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$348.00 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$312.00 |