PROFESSIONAL LANE DENTAL ASSOCIATION
NPI: 1871774851
· DOTHAN, AL 36303
· General Practice Dentistry
· NPI assigned 11/19/2007
$866.00
Total Medicaid Paid
Provider Details
| Authorized Official | DOLLAR, TONY (DOCTOR) |
| NPI Enumeration Date | 11/19/2007 |
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 |
Periodic oral evaluation - established patient |
28 |
28 |
$650.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
13 |
$216.00 |