AVS WELLNESS LLC
NPI: 1881456432
· HONOLULU, HI 96817
· Dental Clinic/Center
· NPI assigned 01/29/2024
$997.44
Total Medicaid Paid
Provider Details
| Authorized Official | AHN, VIVIAN (MEMBER) |
| NPI Enumeration Date | 01/29/2024 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
38 |
$997.44 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
24 |
24 |
$829.44 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
12 |
$168.00 |