CID, MARCOS
NPI: 1295872430
· MORGANTOWN, WV 26501
· General Practice Dentistry
· NPI assigned 01/30/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
195 |
$7K |
| 2019 |
12 |
$306.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
69 |
69 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
88 |
88 |
$2K |
| D1206 |
Topical application of fluoride varnish |
24 |
24 |
$600.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
14 |
$564.00 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$480.00 |