WALTERS, THOMAS
NPI: 1407950033
· NORTH EAST, PA 16428
· General Practice Dentistry
· NPI assigned 09/12/2006
$240.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
24 |
$240.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$240.00 |
| D1999 |
|
12 |
12 |
$0.00 |