MJP FAMILY DENTAL LLC
NPI: 1689179210
· MOUNT JOY, PA 17552
· Dental Clinic/Center
· NPI assigned 03/26/2018
$648.11
Total Medicaid Paid
Provider Details
| Authorized Official | KATZ, ELI (CEO) |
| NPI Enumeration Date | 03/26/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
36 |
$648.11 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
24 |
24 |
$373.67 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$274.44 |