HAMILTON DENTISTRY, PC
NPI: 1417696808
· HAMILTON, TX 76531
· Dentist
· NPI assigned 06/02/2022
$408.40
Total Medicaid Paid
Provider Details
| Authorized Official | CLARK, L (OFFICE MANAGER) |
| NPI Enumeration Date | 06/02/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
52 |
$408.40 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
26 |
15 |
$288.50 |
| D0220 |
Intraoral - periapical first radiographic image |
26 |
14 |
$119.90 |