FLORIDA DENTAL & DENTURE CTR. 111
NPI: 1922338011
· WEST PALM BEACH, FL 33407
· Dental Clinic/Center
· NPI assigned 01/12/2010
$969.92
Total Medicaid Paid
Provider Details
| Authorized Official | SEMEAH, YVES (OWNER) |
| NPI Enumeration Date | 01/12/2010 |
Related Entities
Other providers sharing the same authorized official: SEMEAH, YVES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
45 |
$969.92 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
14 |
$520.92 |
| D0330 |
Panoramic radiographic image |
31 |
31 |
$449.00 |