SAALE, DANIEL
NPI: 1497734974
· REYNOLDSBURG, OH 43068
· General Practice Dentistry
· NPI assigned 01/12/2006
$283.41
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
25 |
$283.41 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$215.16 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$68.25 |