CLAY AND HIENER DENTISTRY PARTNERSHIP
NPI: 1598903973
· SHADY SPRING, WV 25918
· Dentist
· NPI assigned 01/23/2009
$921.80
Total Medicaid Paid
Provider Details
| Authorized Official | CLAY, CARL (GENERAL PARTNER) |
| NPI Enumeration Date | 01/23/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
42 |
$921.80 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
27 |
27 |
$635.80 |
| D1206 |
Topical application of fluoride varnish |
15 |
15 |
$286.00 |