DAULAT, WENDY
NPI: 1477619450
· GLENELG, MD 21737
· Pediatric Dentist
· NPI assigned 12/28/2006
$479.04
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
24 |
$479.04 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$299.04 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$180.00 |