PHAM, KEVIN
NPI: 1306456702
· MINEOLA, TX 75773
· General Practice Dentistry
· NPI assigned 07/31/2020
$75.24
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
43 |
$75.24 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$65.24 |
| D0603 |
|
30 |
28 |
$10.00 |