BLACK, ERIC
NPI: 1154364305
· GREEN VALLEY, AZ 85614
· Dentist
· NPI assigned 06/14/2006
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
137 |
$0.00 |
| 2023 |
282 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0603 |
|
27 |
26 |
$0.00 |
| D1330 |
|
69 |
68 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
57 |
56 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
15 |
15 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
53 |
53 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
198 |
175 |
$0.00 |