GREEN DENTAL LAB, INC.
NPI: 1659727469
· HEBER SPRINGS, AR 72543
· Dental Laboratory
· NPI assigned 05/11/2016
$211K
Total Medicaid Paid
Provider Details
| Authorized Official | THOMAS, KIMBERLY (LAB PRESIDENT) |
| NPI Enumeration Date | 05/11/2016 |
Related Entities
Other providers sharing the same authorized official: THOMAS, KIMBERLY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
166 |
$27K |
| 2020 |
64 |
$5K |
| 2021 |
382 |
$67K |
| 2022 |
177 |
$26K |
| 2023 |
207 |
$38K |
| 2024 |
322 |
$49K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D5110 |
|
769 |
691 |
$121K |
| D5120 |
|
549 |
506 |
$90K |