Home ›
TX ›
LAKEWAY ›
LAKE TRAVIS FAMILY & COSMETIC DENTISTRY PLLC
LAKE TRAVIS FAMILY & COSMETIC DENTISTRY PLLC
NPI: 1790047215
· LAKEWAY, TX 78734
· General Practice Dentistry
· NPI assigned 06/11/2012
$161.70
Total Medicaid Paid
Provider Details
| Authorized Official | PANAHI, DAVID (OWNER/DENTIST) |
| NPI Enumeration Date | 06/11/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
28 |
$161.70 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
13 |
12 |
$161.70 |
| D0603 |
|
15 |
13 |
$0.00 |