HAGERTY, DONNA
NPI: 1417915232
· WAKEFIELD, RI 02879
· General Practice Dentistry
· NPI assigned 05/02/2006
$963.32
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
29 |
$531.56 |
| 2022 |
14 |
$183.12 |
| 2023 |
12 |
$248.64 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
41 |
38 |
$593.32 |
| D1110 |
Prophylaxis - adult |
14 |
13 |
$370.00 |