SAH, PAULINE
NPI: 1477988269
· SPRING, TX 77389
· General Practice Dentistry
· NPI assigned 09/11/2013
$288.87
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
12 |
$0.00 |
| 2023 |
55 |
$288.87 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
13 |
12 |
$150.72 |
| D0230 |
Intraoral - periapical each additional radiographic image |
13 |
12 |
$138.12 |
| D0603 |
|
41 |
39 |
$0.03 |