WELDON, TRACY
NPI: 1396131942
· WEST BOYLSTON, MA 01583
· Dental Hygienist
· NPI assigned 04/10/2015
$103K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
311 |
$9K |
| 2019 |
441 |
$12K |
| 2020 |
235 |
$6K |
| 2021 |
552 |
$15K |
| 2022 |
752 |
$20K |
| 2023 |
563 |
$17K |
| 2024 |
600 |
$24K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
703 |
695 |
$37K |
| D0190 |
|
1,357 |
1,332 |
$27K |
| D1206 |
Topical application of fluoride varnish |
824 |
808 |
$19K |
| D9920 |
|
156 |
155 |
$11K |
| D1354 |
|
340 |
61 |
$5K |
| D9410 |
|
62 |
61 |
$3K |
| D1120 |
Prophylaxis - child |
12 |
12 |
$660.00 |