LEWIS COLE DMD PC
NPI: 1609172998
· NORTHPORT, AL 35473
· General Practice Dentistry
· NPI assigned 02/03/2011
$422.40
Total Medicaid Paid
Provider Details
| Authorized Official | COLE, ROBIN (OFFICE MANAGER) |
| NPI Enumeration Date | 02/03/2011 |
Related Entities
Other providers sharing the same authorized official: COLE, ROBIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
26 |
$422.40 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$257.40 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$165.00 |