OSBOURNE, TIANA
NPI: 1598157141
· YUKON, OK 73099
· Pediatric Dentist
· NPI assigned 02/19/2015
$547.20
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
24 |
$547.20 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
12 |
12 |
$399.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$148.20 |