HENRY, MATTHEW
NPI: 1154561926
· CHEYENNE, WY 82009
· Dentist
· NPI assigned 03/05/2009
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
50 |
$2K |
| 2019 |
131 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
52 |
52 |
$7K |
| D1120 |
Prophylaxis - child |
32 |
32 |
$600.00 |
| D1206 |
Topical application of fluoride varnish |
68 |
68 |
$561.00 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
14 |
$289.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
15 |
13 |
$0.00 |