TSCHETTER, RYAN
NPI: 1457431629
· BLOOMINGTON, IN 47401
· Dentist
· NPI assigned 10/16/2006
$924.63
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
26 |
$924.63 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
14 |
12 |
$685.74 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$238.89 |