DAVONG, ANDY
NPI: 1235443391
· ROYSE CITY, TX 75189
· Dentist
· NPI assigned 07/31/2010
$176.40
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
42 |
$176.40 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$176.40 |
| D0603 |
|
30 |
30 |
$0.00 |