CLARK, CHRISTOPHER
NPI: 1093704207
· NEW LONDON, CT 06320
· Pediatric Dentist
· NPI assigned 10/19/2005
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
340 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
103 |
103 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
19 |
19 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
101 |
101 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
104 |
104 |
$0.00 |