DAVID MCCORMACK DDS
NPI: 1033212493
· BEAVER, WV 25813
· General Practice Dentistry
· NPI assigned 09/07/2006
$0.00
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
67 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
12 |
12 |
$0.00 |
| D1110 |
Prophylaxis - adult |
20 |
20 |
$0.00 |
| D0330 |
Panoramic radiographic image |
16 |
16 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
19 |
19 |
$0.00 |