RYBOLT, CALEB
NPI: 1083392708
· SHELBYVILLE, IL 62565
· General Practice Dentistry
· NPI assigned 07/11/2023
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
93 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
31 |
31 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
31 |
31 |
$911.40 |
| D1206 |
Topical application of fluoride varnish |
31 |
31 |
$846.30 |