CFDC, LLC
NPI: 1952630188
· COOLIDGE, AZ 85128
· General Practice Dentistry
· NPI assigned 12/17/2009
$388.44
Total Medicaid Paid
Provider Details
| Authorized Official | LLOYD, DENNIS (MEMBER) |
| NPI Enumeration Date | 12/17/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
24 |
$388.44 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$232.20 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$156.24 |