SARTBAEVA, ERKINA
NPI: 1558004549
· SWAMPSCOTT, MA 01907
· General Practice Dentistry
· NPI assigned 04/18/2022
$561.05
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
25 |
$561.05 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
12 |
12 |
$349.05 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$212.00 |