RIBOUL, REYNALDO
NPI: 1073136933
· DORCHESTER, MA 02125
· Dentist
· NPI assigned 05/26/2020
$723.56
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
26 |
$723.56 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$415.56 |
| D1120 |
Prophylaxis - child |
14 |
14 |
$308.00 |