HANNEMAN, KURT
NPI: 1376575480
· GRAIN VALLEY, MO 64029
· General Practice Dentistry
· NPI assigned 07/07/2006
$783.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
43 |
$783.00 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
12 |
$513.00 |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
14 |
$150.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
15 |
14 |
$120.00 |