COMPLETE FAMILY DENTAL, P C
NPI: 1699139808
· PHENIX CITY, AL 36867
· Dentist
· NPI assigned 04/13/2016
$732.00
Total Medicaid Paid
Provider Details
| Authorized Official | CAPRA, CHARLES (OWNER) |
| NPI Enumeration Date | 04/13/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
12 |
$396.00 |
| 2024 |
12 |
$336.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
12 |
12 |
$396.00 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$336.00 |