MARTIN, PAMELA
NPI: 1134385818
· ST AUGUSTINE, FL 32086
· Dentist
· NPI assigned 08/01/2008
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
98 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
22 |
20 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
17 |
17 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
31 |
31 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
15 |
15 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$0.00 |