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 |
Periodic oral evaluation - established patient |
27 |
27 |
$461.16 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$342.55 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$180.00 |