WAGSTAFF, CARSON
NPI: 1255643359
· MARANA, AZ 85653
· Dentist
· NPI assigned 07/06/2010
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
62 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
15 |
13 |
$0.00 |
| D1120 |
Prophylaxis - child |
15 |
15 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
32 |
30 |
$0.00 |