DRAPER, MARY
NPI: 1205047248
· OGDEN, UT 84405
· General Practice Dentistry
· NPI assigned 05/24/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
37 |
$2K |
| 2020 |
34 |
$3K |
| 2021 |
40 |
$844.37 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
73 |
73 |
$6K |
| D1120 |
Prophylaxis - child |
25 |
25 |
$288.00 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$80.75 |