HICKS, TYLER
NPI: 1114301603
· SANDY, UT 84093
· Dentist
· NPI assigned 07/14/2015
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
413 |
$0.00 |
| 2020 |
65 |
$0.00 |
| 2021 |
383 |
$0.00 |
| 2022 |
225 |
$0.00 |
| 2023 |
229 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
372 |
356 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
171 |
169 |
$0.00 |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
733 |
257 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
13 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
13 |
13 |
$0.00 |