ROETTGER, MARK
NPI: 1356325906
· LAKE ELMO, MN 55042
· Dentist
· NPI assigned 12/06/2005
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
40 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$0.00 |
| D1110 |
Prophylaxis - adult |
28 |
28 |
$0.00 |