PEDIATRIC DENTISTRY OF CENTRAL GA, PC
NPI: 1922420074
· WARNER ROBINS, GA 31088
· 1223P0221X
$640.62
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
25 |
$640.62 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
13 |
13 |
$427.68 |
| D1206 |
|
12 |
12 |
$212.94 |