THOMAS, DAVID
NPI: 1073696308
· SUMMERSVILLE, WV 26651
· General Practice Dentistry
· NPI assigned 10/23/2006
$270.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
28 |
$270.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$150.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
15 |
15 |
$120.00 |