PAVAN, VANI
NPI: 1053657494
· MARLIN, TX 76661
· Periodontist
· NPI assigned 12/12/2012
$615.71
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
91 |
$615.71 |
| 2021 |
12 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
14 |
13 |
$294.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
14 |
13 |
$132.30 |
| D0230 |
Intraoral - periapical each additional radiographic image |
31 |
13 |
$126.61 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
13 |
$62.80 |
| D0601 |
|
30 |
28 |
$0.00 |