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ARIZONA DEPARTMENT OF HEALTH SERVICES, OFFICE OF ORAL HEALTH
ARIZONA DEPARTMENT OF HEALTH SERVICES, OFFICE OF ORAL HEALTH
NPI: 1336275833
· PHOENIX, AZ 85007
· Public Health Dentist
· NPI assigned 02/26/2007
$414K
Total Medicaid Paid
Provider Details
| Authorized Official | PRICE, PATRICIA (SEALANT PROGRAM MANAGER) |
| NPI Enumeration Date | 02/26/2007 |
Related Entities
Other providers sharing the same authorized official: PRICE, PATRICIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
8,767 |
$102K |
| 2019 |
5,916 |
$92K |
| 2020 |
1,211 |
$16K |
| 2021 |
1,914 |
$27K |
| 2022 |
4,466 |
$69K |
| 2023 |
3,906 |
$69K |
| 2024 |
1,965 |
$39K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1351 |
Sealant - per tooth |
14,869 |
4,025 |
$278K |
| D1206 |
Topical application of fluoride varnish |
13,197 |
10,718 |
$136K |
| D1353 |
|
79 |
31 |
$0.00 |