NORTHCUTT, CHARLES
NPI: 1326702861
· JBER, AK 99505
· Dentist
· NPI assigned 10/29/2021
$496.58
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
62 |
$496.58 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
18 |
13 |
$184.16 |
| D1206 |
Topical application of fluoride varnish |
13 |
12 |
$161.70 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
13 |
$150.72 |
| D0603 |
|
17 |
16 |
$0.00 |