WHITE, CRYSTAL
NPI: 1134886674
· BEAVERTON, OR 97005
· Dental Hygienist
· NPI assigned 11/18/2021
$112.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
557 |
$0.00 |
| 2023 |
1,577 |
$0.00 |
| 2024 |
1,408 |
$112.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
1,071 |
1,070 |
$76.00 |
| D1351 |
Sealant - per tooth |
1,165 |
411 |
$35.00 |
| D0191 |
|
1,306 |
1,304 |
$1.00 |