ROBERTS, DYLAN
NPI: 1578263711
· SICILY ISLAND, LA 71368
· Student in an Organized Health Care Education/Training Program
· NPI assigned 03/07/2023
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
91 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0330 |
Panoramic radiographic image |
17 |
16 |
$0.00 |
| D0999 |
Unspecified diagnostic procedure, by report |
20 |
18 |
$0.00 |
| D0603 |
|
28 |
27 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
14 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$0.00 |