COLEMAN, CODY
NPI: 1316070303
· KIRTLAND, NM 87417
· Dentist
· NPI assigned 03/13/2007
$814.02
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
50 |
$814.02 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$340.44 |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
13 |
$226.98 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$141.96 |
| D0230 |
Intraoral - periapical each additional radiographic image |
12 |
12 |
$104.64 |