HELTON, TONDA
NPI: 1295934701
· BURKESVILLE, KY 42717
· General Practice Dentistry
· NPI assigned 07/13/2007
$84.76
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
57 |
$0.00 |
| 2019 |
373 |
$84.76 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
79 |
67 |
$50.51 |
| D0120 |
Periodic oral evaluation - established patient |
55 |
49 |
$18.50 |
| D1206 |
Topical application of fluoride varnish |
54 |
47 |
$15.75 |
| D1330 |
|
112 |
92 |
$0.00 |
| D0603 |
|
100 |
80 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
13 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
16 |
14 |
$0.00 |