TOBERMAN, DEVAN
NPI: 1336397900
· BOSCOBEL, WI 53805
· Dental Hygienist
· NPI assigned 09/08/2008
$236K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,460 |
$33K |
| 2019 |
1,771 |
$26K |
| 2020 |
2,469 |
$38K |
| 2021 |
2,843 |
$39K |
| 2022 |
1,359 |
$28K |
| 2023 |
1,823 |
$36K |
| 2024 |
1,744 |
$36K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
5,717 |
5,681 |
$81K |
| D1120 |
Prophylaxis - child |
3,308 |
3,283 |
$79K |
| D0191 |
|
3,683 |
3,657 |
$44K |
| D1351 |
Sealant - per tooth |
1,101 |
192 |
$20K |
| D1110 |
Prophylaxis - adult |
267 |
267 |
$9K |
| D1354 |
|
393 |
167 |
$3K |