PITTMAN, DEIRDRE
NPI: 1346220530
· SANFORD, FL 32771
· Dentist
· NPI assigned 01/23/2006
$911.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
44 |
$911.00 |
| 2021 |
26 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
26 |
26 |
$911.00 |
| D1206 |
Topical application of fluoride varnish |
30 |
30 |
$0.00 |
| D1120 |
Prophylaxis - child |
14 |
14 |
$0.00 |