STOLZ, ABIGAIL
NPI: 1003503558
· CEDAR FALLS, IA 50613
· Student in an Organized Health Care Education/Training Program
· NPI assigned 04/24/2023
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
415 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
88 |
88 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
75 |
75 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
58 |
58 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
54 |
54 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
87 |
87 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
18 |
18 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
35 |
35 |
$0.00 |