SWISHER, BRENDON
NPI: 1043472707
· BARTLESVILLE, OK 74003
· General Practice Dentistry
· NPI assigned 06/25/2008
$950.15
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
48 |
$950.15 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
13 |
13 |
$366.60 |
| D0120 |
Periodic oral evaluation - established patient |
16 |
16 |
$315.84 |
| D1208 |
Topical application of fluoride, excluding varnish |
19 |
19 |
$267.71 |