GUERRETTAZ, DEIDRE
NPI: 1164586269
· INDPLS, IN 46205
· General Practice Dentistry
· NPI assigned 12/21/2006
$839.92
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
40 |
$303.90 |
| 2019 |
26 |
$536.02 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
34 |
24 |
$404.17 |
| D1206 |
Topical application of fluoride varnish |
13 |
12 |
$244.75 |
| D1110 |
Prophylaxis - adult |
19 |
12 |
$191.00 |