COLUMBUS FAMILY DENTISTRY INC.
NPI: 1780858928
· COLUMBUS, IN 47201
· General Practice Dentistry
· NPI assigned 04/18/2008
$361.60
Total Medicaid Paid
Provider Details
| Authorized Official | NEGRELLI, MATHEW (DOCTOR/OWNER) |
| NPI Enumeration Date | 04/18/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$47.75 |
| 2019 |
15 |
$313.85 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
15 |
14 |
$313.85 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$47.75 |