HENRY, JOHN
NPI: 1417909946
· CARO, MI 48723
· Dentist
· NPI assigned 05/16/2006
$792.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
25 |
$792.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
12 |
12 |
$480.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
13 |
$312.00 |