BAUDEAN, ANGELA
NPI: 1124409388
· GAUTIER, MS 39553
· General Practice Dentistry
· NPI assigned 06/13/2015
$605.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
26 |
$605.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
14 |
14 |
$343.20 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$261.80 |