RACINE, PAUL
NPI: 1457351298
· CLIO, MI 48420
· General Practice Dentistry
· NPI assigned 07/22/2005
$964.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
28 |
$964.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
15 |
15 |
$600.00 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$364.00 |