DENTON, RONALD
NPI: 1225062326
· LAGRANGE, IN 46761
· General Practice Dentistry
· NPI assigned 07/11/2006
$631.05
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
305 |
$631.05 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
34 |
33 |
$238.75 |
| D0120 |
Periodic oral evaluation - established patient |
121 |
116 |
$225.80 |
| D1208 |
Topical application of fluoride, excluding varnish |
103 |
100 |
$132.00 |
| D1120 |
Prophylaxis - child |
47 |
44 |
$34.50 |