ARIZONA DEPARTMENT OF HEALTH SERVICES
NPI: 1538593157
· PHOENIX, AZ 85007
· Public Health Dentist
· NPI assigned 08/30/2013
Provider Details
| Authorized Official | HUMBLE, JAMES (CHIEF FINANCIAL OFFICER) |
| NPI Enumeration Date | 08/30/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,446 |
$19K |
| 2019 |
10,001 |
$47K |
| 2020 |
3,216 |
$13K |
| 2021 |
2,849 |
$6K |
| 2022 |
4,654 |
$7K |
| 2023 |
4,616 |
$4K |
| 2024 |
3,288 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
14,303 |
13,981 |
$52K |
| D1351 |
Sealant - per tooth |
17,978 |
5,310 |
$44K |
| D1353 |
|
751 |
326 |
$0.00 |
| D1355 |
|
38 |
14 |
$0.00 |