HENDERSON, ANDREW
NPI: 1447734132
· TIGARD, OR 97223
· Dentist
· NPI assigned 09/19/2018
$516.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
84 |
$516.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
24 |
24 |
$399.00 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$117.00 |
| D1330 |
|
24 |
24 |
$0.00 |
| D1310 |
|
24 |
24 |
$0.00 |