GARN, STEVE
NPI: 1104849629
· BURLEY, ID 83318
· General Practice Dentistry
· NPI assigned 07/25/2006
$889.40
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
127 |
$889.40 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
12 |
12 |
$889.40 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
14 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
58 |
58 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
15 |
15 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
28 |
14 |
$0.00 |