COLON, DAGMAR
NPI: 1457469611
· EVANSVILLE, IN 47710
· Dentist
· NPI assigned 08/28/2006
$155K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
274 |
$1K |
| 2019 |
673 |
$26K |
| 2020 |
756 |
$28K |
| 2021 |
912 |
$33K |
| 2022 |
925 |
$35K |
| 2023 |
454 |
$17K |
| 2024 |
398 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,542 |
1,485 |
$78K |
| D0120 |
Periodic oral evaluation - established patient |
1,685 |
1,615 |
$40K |
| D0274 |
Bitewings - four radiographic images |
571 |
553 |
$22K |
| D1206 |
Topical application of fluoride varnish |
497 |
475 |
$11K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
69 |
64 |
$3K |
| D0210 |
Intraoral - complete series of radiographic images |
14 |
14 |
$650.37 |
| D1120 |
Prophylaxis - child |
14 |
13 |
$480.93 |