LOW, MICHAEL
NPI: 1154404861
· DAVENPORT, IA 52801
· General Practice Dentistry
· NPI assigned 10/24/2006
$138K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
694 |
$20K |
| 2019 |
1,792 |
$47K |
| 2020 |
382 |
$11K |
| 2023 |
176 |
$6K |
| 2024 |
1,377 |
$53K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,251 |
1,175 |
$51K |
| D1206 |
Topical application of fluoride varnish |
1,234 |
1,158 |
$32K |
| D0120 |
Periodic oral evaluation - established patient |
1,196 |
1,179 |
$31K |
| D1351 |
Sealant - per tooth |
353 |
190 |
$25K |
| D0601 |
|
312 |
311 |
$0.00 |
| D0602 |
|
75 |
68 |
$0.00 |