DAWARA, MYRA
NPI: 1225681331
· PITMAN, NJ 08071
· Dentist
· NPI assigned 07/17/2019
$818.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
40 |
$818.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
14 |
14 |
$350.00 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$300.00 |
| D0274 |
Bitewings - four radiographic images |
14 |
14 |
$168.00 |