BOND 2020 DENTAL, LLC
NPI: 1700219912
· SOUTH BEND, IN 46615
· General Practice Dentistry
· NPI assigned 08/12/2013
$985.88
Total Medicaid Paid
Provider Details
| Authorized Official | MYERS, WILLIAM (D.D.S.) |
| Parent Organization | 20-20 DENTAL, LLC |
| NPI Enumeration Date | 08/12/2013 |
Related Entities
Other providers sharing the same authorized official: MYERS, WILLIAM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
72 |
$283.91 |
| 2019 |
12 |
$701.97 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1110 |
Prophylaxis - adult |
64 |
63 |
$940.72 |
| D0120 |
Periodic oral evaluation - established patient |
20 |
20 |
$45.16 |