LARSEN, TANYA
NPI: 1386050052
· MOUNT PLEASANT, WI 53406
· Dental Hygienist
· NPI assigned 07/02/2014
$257K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,541 |
$45K |
| 2019 |
3,617 |
$52K |
| 2020 |
686 |
$9K |
| 2021 |
903 |
$11K |
| 2022 |
3,763 |
$56K |
| 2023 |
3,278 |
$43K |
| 2024 |
3,402 |
$41K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
3,687 |
3,502 |
$77K |
| D1351 |
Sealant - per tooth |
6,258 |
1,735 |
$74K |
| D1208 |
Topical application of fluoride, excluding varnish |
3,478 |
3,186 |
$44K |
| D0191 |
|
4,299 |
4,011 |
$44K |
| D1206 |
Topical application of fluoride varnish |
1,165 |
1,156 |
$13K |
| D0120 |
Periodic oral evaluation - established patient |
229 |
228 |
$3K |
| D1110 |
Prophylaxis - adult |
74 |
74 |
$2K |