CONNIE F. CICORELLI, D.D.S., P.A.
NPI: 1013076967
· WILMINGTON, DE 19810
· General Practice Dentistry
· NPI assigned 12/07/2006
$872.30
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
24 |
$872.30 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$469.70 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$402.60 |