BALLINGER DENTAL CLINIC
NPI: 1285843375
· SHORELINE, WA 98155
· Dentist
· NPI assigned 05/22/2007
$690.69
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
40 |
$690.69 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
27 |
26 |
$537.57 |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
12 |
$153.12 |