CONLIN, CHAD
NPI: 1497905616
· ROCKFORD, MI 49341
· Dentist
· NPI assigned 09/24/2008
$930.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
46 |
$930.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
15 |
15 |
$400.00 |
| D0120 |
Periodic oral evaluation - established patient |
16 |
15 |
$280.00 |
| D1206 |
Topical application of fluoride varnish |
15 |
15 |
$250.00 |