DENTAL DEPOT OF HIGHLAND VILLAGE
NPI: 1669927307
· HIGHLAND VILLAGE, TX 75077
· 122300000X
$214.90
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
13 |
$0.00 |
| 2024 |
50 |
$214.90 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
18 |
16 |
$141.40 |
| D1206 |
|
15 |
13 |
$73.50 |
| D0603 |
|
30 |
29 |
$0.00 |