TUTTLE, KENT
NPI: 1497121362
· PINETOP, AZ 85935
· Dentist
· NPI assigned 08/14/2015
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
254 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
27 |
24 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
106 |
29 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
87 |
72 |
$0.00 |
| D1120 |
Prophylaxis - child |
14 |
12 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
20 |
13 |
$0.00 |