NGO, TOMMY
NPI: 1306324868
· MILWAUKIE, OR 97267
· General Practice Dentistry
· NPI assigned 08/06/2018
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
64 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
13 |
13 |
$780.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
34 |
34 |
$714.00 |
| D0120 |
Periodic oral evaluation - established patient |
17 |
17 |
$612.00 |