HANSEN, ZACHARY
NPI: 1518525443
· CLIFTON PARK, NY 12065
· Pediatric Dentist
· NPI assigned 06/05/2019
$755.25
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
24 |
$755.25 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
12 |
12 |
$468.02 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$287.23 |