PAXTON, BARTHOLOMEW
NPI: 1134498520
· KELLER, TX 76248
· Dentist
· NPI assigned 12/14/2011
$610.25
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
45 |
$610.25 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$375.05 |
| D1206 |
Topical application of fluoride varnish |
16 |
16 |
$235.20 |
| D0603 |
|
16 |
16 |
$0.00 |