NPI: 1689149155 · MORGAN CITY, LA 70380 · Dental Clinic/Center · NPI assigned 10/10/2018
| Authorized Official | MANCUSO, LUKE (OWNER) |
| NPI Enumeration Date | 10/10/2018 |
Other providers sharing the same authorized official: MANCUSO, LUKE
| Provider | City | State | Total Paid |
|---|---|---|---|
| LUKE MANCUSO DDS | KAPLAN | LA | $1.87M |
| MAURICE DENTAL LLC | MAURICE | LA | $10K |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $563.13 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 12 | 12 | $563.13 |