OTTO, ABBIE
NPI: 1245646801
· HOLSTEIN, IA 51025
· Dentist
· NPI assigned 07/03/2014
$413.43
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
31 |
$413.43 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
15 |
15 |
$212.81 |
| D1206 |
Topical application of fluoride varnish |
16 |
16 |
$200.62 |