CHEN, MENGXIA
NPI: 1639703374
· BELTON, TX 76513
· Pediatric Dentist
· NPI assigned 03/02/2020
$964.88
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
78 |
$964.88 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
13 |
13 |
$441.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
24 |
14 |
$207.18 |
| D1208 |
Topical application of fluoride, excluding varnish |
14 |
14 |
$191.10 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
14 |
$125.60 |
| D0603 |
|
13 |
13 |
$0.00 |