WATERWAY LDP PLLC
NPI: 1639568207
· THE WOODLANDS, TX 77380
· General Practice Dentistry
· NPI assigned 01/20/2015
$626.38
Total Medicaid Paid
Provider Details
| Authorized Official | MUAINA, NATHAN (OWNER) |
| NPI Enumeration Date | 01/20/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
52 |
$626.38 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
26 |
12 |
$299.26 |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
12 |
$176.40 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
12 |
$150.72 |