SPARKS, DAVID
NPI: 1497825145
· MARTINSVILLE, IN 46151
· General Practice Dentistry
· NPI assigned 11/09/2006
$379.41
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
61 |
$379.41 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
46 |
45 |
$334.25 |
| D0120 |
Periodic oral evaluation - established patient |
15 |
14 |
$45.16 |