MIRIYALA, VINOD
NPI: 1225055940
· MIDDLETOWN, OH 45042
· Pediatric Dentist
· NPI assigned 07/17/2006
$840.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
28 |
$470.00 |
| 2019 |
26 |
$370.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
27 |
27 |
$480.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
27 |
27 |
$360.00 |