BEAUMONT, KELLI
NPI: 1093188674
· GRANTS PASS, OR 97526
· Dental Hygienist
· NPI assigned 11/04/2015
$672.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
36 |
$0.00 |
| 2020 |
128 |
$672.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
56 |
55 |
$368.00 |
| D0191 |
|
84 |
81 |
$304.00 |
| D1330 |
|
12 |
12 |
$0.00 |
| D1320 |
|
12 |
12 |
$0.00 |