BAUER, MATTHEW
NPI: 1497844377
· BURNS, OR 97720
· General Practice Dentistry
· NPI assigned 10/11/2006
$207.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
674 |
$55.00 |
| 2024 |
589 |
$152.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
215 |
207 |
$114.00 |
| D0220 |
Intraoral - periapical first radiographic image |
83 |
83 |
$65.00 |
| D1354 |
|
784 |
128 |
$28.00 |
| D1110 |
Prophylaxis - adult |
24 |
24 |
$0.00 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$0.00 |
| D1330 |
|
40 |
40 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
45 |
40 |
$0.00 |
| D1320 |
|
15 |
15 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
28 |
28 |
$0.00 |
| D0603 |
|
16 |
16 |
$0.00 |