DELOACH, DENNIS
NPI: 1376676825
· DELTA, UT 84624
· Dentist
· NPI assigned 03/13/2007
$843.13
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
12 |
$0.00 |
| 2022 |
28 |
$843.13 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
15 |
13 |
$843.13 |
| D1206 |
Topical application of fluoride varnish |
25 |
25 |
$0.00 |