VISEL, DANIEL
NPI: 1366561623
· FREEPORT, IL 61032
· General Practice Dentistry
· NPI assigned 03/28/2007
$910.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
31 |
$910.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
17 |
17 |
$574.00 |
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$336.00 |