CARAG, MARY DEBBIE
NPI: 1336279843
· HAYWARD, CA 94544
· General Practice Dentistry
· NPI assigned 03/06/2007
$704.50
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
41 |
$704.50 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
14 |
14 |
$405.00 |
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$199.50 |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
13 |
$100.00 |