EVANS, ALAN
NPI: 1487714937
· MUSCATINE, IA 52761
· General Practice Dentistry
· NPI assigned 12/12/2006
$597.58
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
25 |
$384.77 |
| 2021 |
13 |
$212.81 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
26 |
26 |
$425.62 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$171.96 |