HEATHER KILLEBREW TUTOR, DMD, PA
NPI: 1205082963
· LEXINGTON, MS 39095
· Dentist
· NPI assigned 08/13/2008
$350.70
Total Medicaid Paid
Provider Details
| Authorized Official | TUTOR, HEATHER (OWNER) |
| NPI Enumeration Date | 08/13/2008 |
Related Entities
Other providers sharing the same authorized official: TUTOR, HEATHER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
152 |
$0.00 |
| 2019 |
132 |
$0.00 |
| 2020 |
27 |
$350.70 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
62 |
45 |
$350.70 |
| D0140 |
Limited oral evaluation - problem focused |
19 |
19 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
88 |
47 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
82 |
41 |
$0.00 |
| D1120 |
Prophylaxis - child |
43 |
39 |
$0.00 |
| D0330 |
Panoramic radiographic image |
17 |
13 |
$0.00 |