LANCASTER, BRANDY
NPI: 1356489140
· SPIRIT LAKE, IA 51360
· Dentist
· NPI assigned 02/02/2007
$466.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
25 |
$466.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$266.00 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$200.00 |