BAILLARGEON MARX, BETHANY
NPI: 1598076119
· PELICAN RAPIDS, MN 56572
· Dentist
· NPI assigned 06/29/2010
$294.52
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$0.00 |
| 2020 |
13 |
$294.52 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$294.52 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$0.00 |