NELSON, DENNIS
NPI: 1447238001
· NEWAYGO, MI 49337
· General Practice Dentistry
· NPI assigned 01/04/2006
$894.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
38 |
$894.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
26 |
26 |
$644.00 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$250.00 |