JIDDOU, PAULINE
NPI: 1184812034
· LATHRUP VILLAGE, MI 48076
· General Practice Dentistry
· NPI assigned 10/04/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
25 |
$869.00 |
| 2019 |
67 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
31 |
31 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
43 |
43 |
$1K |
| D1206 |
Topical application of fluoride varnish |
18 |
18 |
$402.52 |