WALTHAM DENTAL GROUP
NPI: 1689441792
· WALTHAM, MA 02453
· Dental Clinic/Center
· NPI assigned 12/08/2023
$450.00
Total Medicaid Paid
Provider Details
| Authorized Official | MIHYAWI, AHMED (DENTIST OWNER) |
| NPI Enumeration Date | 12/08/2023 |
Related Entities
Other providers sharing the same authorized official: MIHYAWI, AHMED
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2024 |
30 |
$450.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0220 |
Intraoral - periapical first radiographic image |
30 |
28 |
$450.00 |