EDER, GARY
NPI: 1346579026
· FORT SILL, OK 73503
· Dentist
· NPI assigned 12/09/2009
$872.04
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
24 |
$872.04 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$555.84 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$316.20 |