GLASS, CODY
NPI: 1134799430
· LANCASTER, WI 53813
· Dentist
· NPI assigned 06/29/2021
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
89 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
30 |
29 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
46 |
43 |
$827.09 |
| D1206 |
Topical application of fluoride varnish |
13 |
12 |
$215.60 |