BUMGARDNER, KORY
NPI: 1407962988
· HASTINGS, NE 68901
· General Practice Dentistry
· NPI assigned 08/21/2006
$462.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
24 |
$462.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$242.00 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$220.00 |