BEARD, STACEY
NPI: 1366686495
· STILWELL, OK 74960
· Dentist
· NPI assigned 04/20/2009
$578.55
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
25 |
$578.55 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$319.20 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$259.35 |