SCHOWENGERDT, RONALD
NPI: 1245249309
· NEVADA, MO 64772
· Dentist
· NPI assigned 08/07/2006
$528.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$288.00 |
| 2019 |
45 |
$240.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$288.00 |
| D1206 |
Topical application of fluoride varnish |
28 |
24 |
$189.00 |
| D1120 |
Prophylaxis - child |
17 |
13 |
$51.00 |