KASICK, KEVIN
NPI: 1164651295
· ONTARIO, OH 44906
· General Practice Dentistry
· NPI assigned 07/10/2009
$898.75
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
63 |
$843.75 |
| 2019 |
13 |
$55.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
26 |
25 |
$658.75 |
| D0220 |
Intraoral - periapical first radiographic image |
37 |
37 |
$175.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
13 |
12 |
$65.00 |