HERFORT, THOMAS
NPI: 1376568089
· IRONWOOD, MI 49938
· General Practice Dentistry
· NPI assigned 07/13/2006
$537.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
24 |
$537.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
12 |
12 |
$274.00 |
| D1208 |
|
12 |
12 |
$263.00 |