BLOMQUIST, ERIK
NPI: 1548752959
· SAINT JOSEPH, MI 49085
· General Practice Dentistry
· NPI assigned 05/31/2018
$785.81
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$143.30 |
| 2019 |
46 |
$642.51 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
44 |
42 |
$558.87 |
| D0120 |
Periodic oral evaluation - established patient |
15 |
15 |
$226.94 |