DONALD, BREANNA
NPI: 1447706601
· LANSDOWNE, VA 20176
· Dentist
· NPI assigned 08/28/2016
$749.95
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
42 |
$749.95 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
21 |
18 |
$416.45 |
| D1206 |
Topical application of fluoride varnish |
21 |
18 |
$333.50 |