GATEWAY DENTAL COLUMBUS LLC
NPI: 1891203055
· COLUMBUS, IN 47201
· 1223E0200X
$215.50
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
60 |
$215.50 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0210 |
|
17 |
16 |
$144.50 |
| D0150 |
|
26 |
25 |
$71.00 |
| D1330 |
|
17 |
17 |
$0.00 |