PROFESSIONAL LANE DENTAL ASSOCIATION
NPI: 1871774851
· DOTHAN, AL 36303
· 1223G0001X
$866.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
25 |
$466.00 |
| 2020 |
16 |
$400.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
28 |
28 |
$650.00 |
| D1208 |
|
13 |
13 |
$216.00 |