MCMAHON, JOHN
NPI: 1568520377
· JENISON, MI 49428
· General Practice Dentistry
· NPI assigned 12/05/2006
$780.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
24 |
$780.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
12 |
12 |
$480.00 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$300.00 |