SNAKE RIVER DENTAL INC.
NPI: 1932360674
· PAYETTE, ID 83661
· 122300000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
66 |
$0.00 |
| 2019 |
88 |
$650.54 |
| 2020 |
102 |
$1K |
| 2021 |
37 |
$0.00 |
| 2022 |
26 |
$0.00 |
| 2023 |
13 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
39 |
39 |
$2K |
| D1206 |
|
101 |
101 |
$13.55 |
| D0120 |
|
192 |
192 |
$0.00 |