PAULSON, ROY
NPI: 1104921907
· CASPER, WY 82601
· Pediatric Dentist
· NPI assigned 09/14/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
145 |
$5K |
| 2019 |
115 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
130 |
129 |
$10K |
| D1208 |
Topical application of fluoride, excluding varnish |
62 |
62 |
$1K |
| D1120 |
Prophylaxis - child |
40 |
40 |
$990.00 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$222.00 |
| D1206 |
Topical application of fluoride varnish |
16 |
16 |
$0.00 |