KOLANDAIVELU, RAJIV
NPI: 1407083876
· HATFIELD, PA 19440
· General Practice Dentistry
· NPI assigned 06/12/2009
$492.50
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
24 |
$492.50 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$268.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$224.50 |