WELDEN ONDOCSIN DENTISTRY LLC
NPI: 1760915714
· DECATUR, AL 35601
· General Practice Dentistry
· NPI assigned 04/06/2017
$571.00
Total Medicaid Paid
Provider Details
| Authorized Official | ONDOCSIN, BRIAN (PARTNER) |
| NPI Enumeration Date | 04/06/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
15 |
$220.00 |
| 2024 |
13 |
$351.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$351.00 |
| D0120 |
Periodic oral evaluation - established patient |
15 |
13 |
$220.00 |