DAVIES PEDIATRIC DENTISTRY
NPI: 1003908856
· WAUKESHA, WI 53189
· Pediatric Dentist
· NPI assigned 09/29/2006
$0.00
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
41 |
$0.00 |
| 2019 |
32 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
13 |
13 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
27 |
27 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
33 |
33 |
$0.00 |