HARRELL, MARY
NPI: 1083640007
· GRANTS PASS, OR 97526
· Dentist
· NPI assigned 06/23/2006
$118.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
88 |
$0.00 |
| 2023 |
385 |
$118.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
75 |
68 |
$76.00 |
| D0274 |
Bitewings - four radiographic images |
34 |
33 |
$29.00 |
| D0220 |
Intraoral - periapical first radiographic image |
39 |
36 |
$13.00 |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$0.00 |
| D1999 |
|
62 |
56 |
$0.00 |
| D1330 |
|
82 |
73 |
$0.00 |
| D1310 |
|
73 |
65 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
27 |
27 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
37 |
36 |
$0.00 |
| D0603 |
|
31 |
31 |
$0.00 |