LATUS, GREGORY
NPI: 1154682730
· MAPLEWOOD, MN 55109
· Dentist
· NPI assigned 05/31/2012
$448.96
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
13 |
$204.96 |
| 2020 |
15 |
$244.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0274 |
Bitewings - four radiographic images |
15 |
13 |
$244.00 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$204.96 |