CHAN, PRISCILLA
NPI: 1629570924
· BUDA, TX 78610
· Student in an Organized Health Care Education/Training Program
· NPI assigned 03/02/2018
$651.50
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
104 |
$651.50 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
37 |
15 |
$299.26 |
| D1208 |
Topical application of fluoride, excluding varnish |
15 |
15 |
$176.40 |
| D0220 |
Intraoral - periapical first radiographic image |
16 |
16 |
$175.84 |
| D0603 |
|
36 |
36 |
$0.00 |