THE TOOTH FAIRIES
NPI: 1205055035
· SAMMAMISH, WA 98075
· Dental Hygienist
· NPI assigned 04/24/2007
$150K
Total Medicaid Paid
Provider Details
| Authorized Official | TANNER, H ELISE (REGISTERED DENTAL HYGIENIST) |
| NPI Enumeration Date | 04/24/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,752 |
$79K |
| 2019 |
7,144 |
$71K |
| 2020 |
45 |
$509.88 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1330 |
|
5,863 |
5,545 |
$57K |
| D0190 |
|
6,139 |
5,827 |
$57K |
| D1206 |
Topical application of fluoride varnish |
2,939 |
2,757 |
$35K |