SIMER, NEWTON
NPI: 1316936875
· JENKS, OK 74037
· Dentist
· NPI assigned 10/18/2005
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
99 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
43 |
43 |
$853.09 |
| D1208 |
Topical application of fluoride, excluding varnish |
42 |
42 |
$598.08 |
| D1120 |
Prophylaxis - child |
14 |
14 |
$406.70 |