P.S.SIDHU & ASSOCIATES
NPI: 1679710883
· WEST ALLIS, WI 53214
· General Practice Dentistry
· NPI assigned 01/09/2009
$422.47
Total Medicaid Paid
Provider Details
| Authorized Official | FRANK, HELENE (OFFICE MANAGER) |
| NPI Enumeration Date | 01/09/2009 |
Related Entities
Other providers sharing the same authorized official: FRANK, HELENE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
25 |
$422.47 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$277.79 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$144.68 |