CHAD MATONE DENTAL SERVICES,P.L.L.C.
NPI: 1659712214
· NORTH LITTLE ROCK, AR 72116
· General Practice Dentistry
· NPI assigned 07/11/2013
$212.80
Total Medicaid Paid
Provider Details
| Authorized Official | MATONE, CHAD (PRESIDENT) |
| NPI Enumeration Date | 07/11/2013 |
Related Entities
Other providers sharing the same authorized official: MATONE, CHAD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
13 |
$212.80 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
13 |
12 |
$212.80 |