MONTGOMERY, AARON
NPI: 1366932048
· EL MIRAGE, AZ 85335
· General Practice Dentistry
· NPI assigned 05/17/2018
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
459 |
$0.00 |
| 2019 |
299 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
47 |
45 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
207 |
68 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
129 |
106 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
36 |
31 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
109 |
88 |
$0.00 |
| D0330 |
Panoramic radiographic image |
72 |
70 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
145 |
115 |
$0.00 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$0.00 |