JOHN A SIMPSON DDS PC
NPI: 1497914337
· RUPERT, ID 83350
· General Practice Dentistry
· NPI assigned 06/05/2008
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | SIMPSON, JOHN (PRESIDENT) |
| NPI Enumeration Date | 06/05/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
28 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
14 |
14 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$0.00 |