KOEHN, KRICKET
NPI: 1184285033
· RHINELANDER, WI 54501
· General Practice Dentistry
· NPI assigned 06/21/2019
$475.60
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
31 |
$475.60 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
17 |
14 |
$316.38 |
| D0120 |
Periodic oral evaluation - established patient |
14 |
12 |
$159.22 |