DENTAL AND BRACES DYSART LLC
NPI: 1629676903
· AVONDALE, AZ 85323
· 261QD0000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
39 |
$526.38 |
| 2024 |
82 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D4346 |
|
13 |
13 |
$657.00 |
| D0220 |
|
57 |
54 |
$562.67 |
| D0274 |
|
26 |
26 |
$479.95 |
| D0150 |
|
12 |
12 |
$427.78 |
| D0330 |
|
13 |
13 |
$289.61 |