MARTINEZ, AUSTIN
NPI: 1336558386
· TUSCOLA, IL 61953
· General Practice Dentistry
· NPI assigned 08/04/2014
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
41 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
12 |
12 |
$492.00 |
| D0120 |
Periodic oral evaluation - established patient |
17 |
17 |
$476.00 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$312.00 |