EVONOVICH, AMBER
NPI: 1023783156
· WAUKESHA, WI 53188
· Dental Hygienist
· NPI assigned 08/11/2021
$178K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,025 |
$16K |
| 2022 |
4,753 |
$95K |
| 2023 |
3,424 |
$67K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
2,813 |
2,807 |
$49K |
| D1120 |
Prophylaxis - child |
1,463 |
1,459 |
$43K |
| D0191 |
|
1,985 |
1,980 |
$29K |
| D1351 |
Sealant - per tooth |
1,074 |
402 |
$24K |
| D1110 |
Prophylaxis - adult |
508 |
508 |
$20K |
| D1354 |
|
1,359 |
590 |
$14K |