DECKER, HEIDI
NPI: 1225059942
· ULSTER PARK, NY 12487
· General Practice Dentistry
· NPI assigned 07/21/2006
$734.87
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
28 |
$734.87 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
13 |
13 |
$465.92 |
| D0120 |
Periodic oral evaluation - established patient |
15 |
15 |
$268.95 |