HICKEN, CLARK
NPI: 1407925308
· OREM, UT 84097
· General Practice Dentistry
· NPI assigned 11/06/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
61 |
$87.25 |
| 2022 |
31 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
17 |
14 |
$1K |
| D0274 |
Bitewings - four radiographic images |
48 |
44 |
$87.25 |
| D1120 |
Prophylaxis - child |
14 |
12 |
$0.00 |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$0.00 |