DEAN, LISA
NPI: 1972522639
· MOUNTAIN TOP, PA 18707
· General Practice Dentistry
· NPI assigned 07/19/2006
$751.50
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
26 |
$751.50 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
14 |
14 |
$504.00 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$247.50 |