LZP DENTAL ENTERPRISES, LLC
NPI: 1780352294
· POCAHONTAS, IA 50574
· Dental Clinic/Center
· NPI assigned 08/31/2021
$153.20
Total Medicaid Paid
Provider Details
| Authorized Official | CARLSON, MELISSA (REGIONAL OFFICE MANAGER) |
| NPI Enumeration Date | 08/31/2021 |
Related Entities
Other providers sharing the same authorized official: CARLSON, MELISSA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
14 |
$153.20 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$153.20 |