HERO WAY PEDIATRIC DENTISTRY
NPI: 1881332450
· LEANDER, TX 78641
· Pediatric Dentist
· NPI assigned 05/24/2022
$210.70
Total Medicaid Paid
Provider Details
| Authorized Official | LI, YU (CEO) |
| NPI Enumeration Date | 05/24/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
38 |
$210.70 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
14 |
12 |
$112.80 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$97.90 |
| D0603 |
|
12 |
12 |
$0.00 |