BRUTUS, ELIZABETH
NPI: 1376929638
· SAN BERNARDINO, CA 92408
· Dental Hygienist
· NPI assigned 08/09/2015
$209K
Total Medicaid Paid
5,571
Beneficiary Records
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,230 |
$82K |
| 2019 |
2,530 |
$89K |
| 2020 |
720 |
$33K |
| 2021 |
126 |
$5K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,477 |
1,470 |
$114K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,572 |
2,557 |
$33K |
| D1120 |
Prophylaxis - child |
1,089 |
1,083 |
$31K |
| D1351 |
Sealant - per tooth |
1,437 |
430 |
$30K |
| D9410 |
|
31 |
31 |
$392.00 |