ICABONE, DENNIS
NPI: 1518022532
· FENNVILLE, MI 49408
· Dentist
· NPI assigned 12/27/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
37 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
13 |
13 |
$586.62 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$302.00 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$275.00 |