BLAIR, BETH
NPI: 1023376597
· MONONA, WI 53716
· Pediatric Dentist
· NPI assigned 05/02/2012
$904.45
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
29 |
$904.45 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
14 |
14 |
$555.70 |
| D1206 |
Topical application of fluoride varnish |
15 |
15 |
$348.75 |