PHAM, CAROL
NPI: 1629264031
· SUNNYVALE, CA 94085
· Dentist
· NPI assigned 09/19/2007
$398.90
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
97 |
$398.90 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
84 |
31 |
$300.90 |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
13 |
$98.00 |