METRO DENTAL INC
NPI: 1720390693
· JACKSON, MS 39216
· Dentist
· NPI assigned 07/08/2010
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | POLLES, JIM (OWNER) |
| NPI Enumeration Date | 07/08/2010 |
Related Entities
Other providers sharing the same authorized official: POLLES, JIM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
71 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
30 |
29 |
$0.00 |
| D1120 |
Prophylaxis - child |
41 |
39 |
$0.00 |