KHOE, GRISELDA
NPI: 1154443729
· SOUTHINGTON, CT 06489
· Pediatric Dentist
· NPI assigned 04/04/2007
$204K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
535 |
$18K |
| 2019 |
815 |
$27K |
| 2020 |
789 |
$21K |
| 2021 |
1,047 |
$33K |
| 2022 |
1,033 |
$36K |
| 2023 |
964 |
$34K |
| 2024 |
1,022 |
$36K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
2,043 |
2,010 |
$89K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,086 |
2,050 |
$57K |
| D0120 |
Periodic oral evaluation - established patient |
1,651 |
1,630 |
$54K |
| D0272 |
Bitewings - two radiographic images |
90 |
89 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
30 |
29 |
$2K |
| D1999 |
|
305 |
281 |
$0.00 |