PETER H MIELKE DDS PEDIATRIC DENTISTRY
NPI: 1184895351
· MAPLEWOOD, MN 55109
· Pediatric Dentist
· NPI assigned 03/17/2008
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | MIELKE, PETER (PEDODONTIST) |
| NPI Enumeration Date | 03/17/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
27 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
14 |
14 |
$0.00 |