HAGY, LAURA
NPI: 1578782660
· NEW LEXINGTON, OH 43764
· General Practice Dentistry
· NPI assigned 04/25/2007
$705.59
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
40 |
$705.59 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
12 |
12 |
$252.00 |
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$233.09 |
| D1208 |
Topical application of fluoride, excluding varnish |
14 |
14 |
$220.50 |