BALES, PATRICIA
NPI: 1033271762
· CENTRAL CITY, IA 52214
· General Practice Dentistry
· NPI assigned 12/16/2006
$420.53
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
27 |
$420.53 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
12 |
$212.97 |
| D0120 |
Periodic oral evaluation - established patient |
14 |
12 |
$207.56 |