NANETTE B.I. AULT, D.D.S., P.C.
NPI: 1023181260
· MISSOULA, MT 59803
· Periodontist
· NPI assigned 11/16/2006
$133K
Total Medicaid Paid
Provider Details
| Authorized Official | AULT, NANETTE (PERIODONTIST) |
| NPI Enumeration Date | 11/16/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
827 |
$38K |
| 2019 |
736 |
$32K |
| 2020 |
429 |
$21K |
| 2021 |
399 |
$13K |
| 2022 |
379 |
$11K |
| 2023 |
357 |
$13K |
| 2024 |
137 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
2,124 |
1,741 |
$67K |
| D4341 |
|
285 |
125 |
$40K |
| D9920 |
|
359 |
297 |
$13K |
| D1206 |
Topical application of fluoride varnish |
336 |
317 |
$6K |
| D4910 |
|
87 |
84 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
73 |
64 |
$1K |