CASA DENTAL
NPI: 1699119958
· DUMAS, TX 79029
· Dentist
· NPI assigned 04/17/2013
$191.10
Total Medicaid Paid
Provider Details
| Authorized Official | NARAYAN, ROHIT (DIRECTOR) |
| NPI Enumeration Date | 04/17/2013 |
Related Entities
Other providers sharing the same authorized official: NARAYAN, ROHIT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
25 |
$191.10 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
13 |
$191.10 |
| D0603 |
|
12 |
12 |
$0.00 |