CORNWALL FAMILY DENTISTRY, LLC
NPI: 1962868968
· LEBANON, PA 17042
· 1223G0001X
$853.81
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
25 |
$853.81 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
13 |
13 |
$532.87 |
| D0120 |
|
12 |
12 |
$320.94 |