COMPLETE DENTAL CARE OF CALCUTTA
NPI: 1942717822
· EAST LIVERPOOL, OH 43920
· General Practice Dentistry
· NPI assigned 01/02/2018
$342.55
Total Medicaid Paid
Provider Details
| Authorized Official | LESTER, ARMANDA (OFFICE MANAGER) |
| NPI Enumeration Date | 01/02/2018 |
Related Entities
Other providers sharing the same authorized official: LESTER, ARMANDA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
14 |
$342.55 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
14 |
$342.55 |