MONI DENTISTRY PLLC
NPI: 1790297778
· DALLAS, TX 75208
· Advanced Practice Dental Therapist
· NPI assigned 10/30/2017
$288.84
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
24 |
$288.84 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$150.72 |
| D0230 |
Intraoral - periapical each additional radiographic image |
12 |
12 |
$138.12 |