TIRTHA, RAJIVA
NPI: 1265537146
· BURTON, MI 48509
· General Practice Dentistry
· NPI assigned 09/14/2006
$520.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
26 |
$520.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
13 |
13 |
$320.00 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$200.00 |