LO, GRACE
NPI: 1306992623
· ROCKY HILL, CT 06067
· General Practice Dentistry
· NPI assigned 01/27/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
60 |
$2K |
| 2021 |
29 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
44 |
41 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
29 |
26 |
$480.20 |
| D1206 |
Topical application of fluoride varnish |
16 |
15 |
$426.30 |