FULTON, KIMBERLY
NPI: 1528092863
· SURPRISE, AZ 85374
· Dentist
· NPI assigned 07/11/2006
$52.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
497 |
$52.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
433 |
418 |
$52.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
44 |
26 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
20 |
19 |
$0.00 |