TUJETSCH, MARY
NPI: 1306011622
· HIGHLAND, IN 46322
· General Practice Dentistry
· NPI assigned 04/28/2008
$519.34
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
80 |
$519.34 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
53 |
43 |
$519.34 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
27 |
13 |
$0.00 |