SACKRIDER, TANYA
NPI: 1255546503
· BATAVIA, OH 45103
· General Practice Dentistry
· NPI assigned 05/11/2007
$983.71
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
40 |
$778.75 |
| 2022 |
12 |
$204.96 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
27 |
27 |
$461.16 |
| D0150 |
|
13 |
13 |
$342.55 |
| D1208 |
|
12 |
12 |
$180.00 |