TUBA CITY REGIONAL HEALTH CARE CORPORATION
NPI: 1528241395
· TUBA CITY, AZ 86045
· General Practice Dentistry
· NPI assigned 12/14/2007
Provider Details
Related Entities
Other providers sharing the same authorized official: ENGELKEN, JOSEPH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
772 |
$12K |
| 2021 |
167 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1206 |
Topical application of fluoride varnish |
231 |
216 |
$5K |
| D1351 |
Sealant - per tooth |
182 |
27 |
$4K |
| D1120 |
Prophylaxis - child |
48 |
48 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
52 |
52 |
$1K |
| D0274 |
Bitewings - four radiographic images |
30 |
30 |
$904.50 |
| D1330 |
|
63 |
63 |
$0.00 |
| D0512 |
|
333 |
313 |
$0.00 |