VALUDENTAL TRUMAN CORNERS RUSSELL LLC
NPI: 1952942880
· GRANDVIEW, MO 64030
· Dental Clinic/Center
· NPI assigned 10/02/2019
$438.30
Total Medicaid Paid
Provider Details
| Authorized Official | ESLER, LINDA (OFFICE MANAGER) |
| NPI Enumeration Date | 10/02/2019 |
Related Entities
Other providers sharing the same authorized official: ESLER, LINDA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
17 |
$438.30 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D0330 |
Panoramic radiographic image |
17 |
12 |
$438.30 |