CELIS, FELIX
NPI: 1255401113
· KEARNY, AZ 85237
· General Practice Dentistry
· NPI assigned 11/08/2006
$671.29
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
26 |
$671.29 |
| 2022 |
15 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$390.49 |
| D1208 |
Topical application of fluoride, excluding varnish |
28 |
25 |
$280.80 |