FIFE, JOHN
NPI: 1609427947
· INDIAN HARBOUR BEACH, FL 32937
· General Practice Dentistry
· NPI assigned 09/27/2019
$283.89
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
97 |
$0.00 |
| 2022 |
25 |
$283.89 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$283.89 |
| D1120 |
Prophylaxis - child |
20 |
20 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
14 |
14 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
19 |
19 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
24 |
24 |
$0.00 |
| D0603 |
|
20 |
20 |
$0.00 |