CROSS, ARIEL
NPI: 1336406610
· WEST PALM BEACH, FL 33401
· Student in an Organized Health Care Education/Training Program
· NPI assigned 04/11/2012
$373.99
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
131 |
$373.99 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
38 |
38 |
$163.24 |
| D0220 |
Intraoral - periapical first radiographic image |
40 |
40 |
$77.28 |
| D1110 |
Prophylaxis - adult |
15 |
15 |
$68.90 |
| D0230 |
Intraoral - periapical each additional radiographic image |
38 |
38 |
$64.57 |