STEELE FAMILY DENTAL LLC
NPI: 1831496884
· PHILADELPHIA, MS 39350
· General Practice Dentistry
· NPI assigned 02/25/2011
$642.00
Total Medicaid Paid
Provider Details
| Authorized Official | STEELE, JOHN (DENTIST) |
| NPI Enumeration Date | 02/25/2011 |
Related Entities
Other providers sharing the same authorized official: STEELE, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
34 |
$642.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1120 |
Prophylaxis - child |
17 |
13 |
$350.75 |
| D1206 |
Topical application of fluoride varnish |
17 |
13 |
$291.25 |