MATTISON, CHARLES
NPI: 1003948563
· INGLEWOOD, CA 90302
· Dentist
· NPI assigned 03/11/2007
$611.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
46 |
$611.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
34 |
33 |
$336.00 |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$275.00 |