LEWIS, BROCK
NPI: 1063038255
· BLAIR, NE 68008
· Dentist
· NPI assigned 06/23/2020
$713.07
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
75 |
$713.07 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
27 |
27 |
$416.43 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$296.64 |
| D1999 |
|
36 |
28 |
$0.00 |