HERRON, THOMAS
NPI: 1154492858
· MAYFIELD HTS, OH 44124
· General Practice Dentistry
· NPI assigned 11/13/2006
$707.27
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$0.00 |
| 2019 |
183 |
$354.14 |
| 2020 |
158 |
$86.35 |
| 2021 |
230 |
$86.83 |
| 2022 |
82 |
$179.95 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
136 |
135 |
$273.04 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
132 |
132 |
$237.15 |
| D0210 |
Intraoral - complete series of radiographic images |
73 |
73 |
$180.00 |
| D0120 |
Periodic oral evaluation - established patient |
86 |
86 |
$17.08 |
| D1999 |
|
212 |
209 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
27 |
27 |
$0.00 |