PAGE, MARC
NPI: 1366462236
· PROVIDENCE, RI 02906
· Dentist
· NPI assigned 07/20/2006
$609.29
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
97 |
$609.29 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
52 |
48 |
$329.29 |
| D1110 |
Prophylaxis - adult |
45 |
41 |
$280.00 |