PINE TREE DENTAL CARE PLLC
NPI: 1821830365
· MIDLOTHIAN, VA 23113
· General Practice Dentistry
· NPI assigned 06/06/2024
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | LEE, KYU (DENTIST) |
| NPI Enumeration Date | 06/06/2024 |
Related Entities
Other providers sharing the same authorized official: LEE, KYU
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
15 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
15 |
14 |
$0.00 |