RESEDA VILLAGE DENTAL STUDIO
NPI: 1639491004
· RESEDA, CA 91335
· 305R00000X
$639.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
58 |
$639.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
|
17 |
16 |
$195.00 |
| D1206 |
|
15 |
14 |
$168.00 |
| D0210 |
|
13 |
12 |
$159.00 |
| D1120 |
|
13 |
13 |
$117.00 |