PARK, JOSEPH
NPI: 1013399484
· CLOVIS, NM 88101
· General Practice Dentistry
· NPI assigned 06/22/2015
$571.78
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
48 |
$571.78 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
13 |
$226.98 |
| D0220 |
Intraoral - periapical first radiographic image |
18 |
18 |
$196.56 |
| D0230 |
Intraoral - periapical each additional radiographic image |
17 |
17 |
$148.24 |