DOMIN, PAUL
NPI: 1639380561
· MARSHALL, MI 49068
· Dentist
· NPI assigned 05/24/2007
$515.80
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
12 |
$240.80 |
| 2022 |
12 |
$275.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$275.00 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$240.80 |