GLINES, STEWART
NPI: 1194394585
· SIERRA VISTA, AZ 85635
· General Practice Dentistry
· NPI assigned 06/21/2021
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
96 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$0.00 |
| D1120 |
Prophylaxis - child |
18 |
18 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
13 |
13 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
32 |
32 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
21 |
21 |
$0.00 |