DANCHENKO, KATERINA
NPI: 1326545278
· DOVER, NJ 07801
· General Practice Dentistry
· NPI assigned 04/08/2018
$980.50
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
12 |
$48.50 |
| 2022 |
111 |
$112.00 |
| 2023 |
173 |
$820.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
33 |
28 |
$460.00 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$220.00 |
| D0603 |
|
73 |
68 |
$200.00 |
| D0220 |
Intraoral - periapical first radiographic image |
27 |
25 |
$100.50 |
| D9993 |
|
12 |
12 |
$0.00 |
| D1310 |
|
12 |
12 |
$0.00 |
| D1330 |
|
127 |
121 |
$0.00 |