KERNS, AMY
NPI: 1154905602
· PRAIRIE VILLAGE, KS 66208
· Pediatric Dentist
· NPI assigned 05/11/2021
$200.21
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
119 |
$200.21 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
31 |
15 |
$125.26 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
13 |
$28.86 |
| D0120 |
Periodic oral evaluation - established patient |
26 |
22 |
$25.47 |
| D1206 |
Topical application of fluoride varnish |
29 |
25 |
$20.62 |
| D1120 |
Prophylaxis - child |
19 |
16 |
$0.00 |