BRUNSON, J.
NPI: 1629268347
· PALM DESERT, CA 92211
· General Practice Dentistry
· NPI assigned 07/30/2007
$821.27
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
37 |
$821.27 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
25 |
24 |
$601.82 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$219.45 |