CRAWFORD, SUPRENA
NPI: 1649680232
· EAGLE, CO 81631
· Dental Hygienist
· NPI assigned 05/05/2014
$778.74
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
40 |
$778.74 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
21 |
15 |
$464.10 |
| D1206 |
Topical application of fluoride varnish |
19 |
13 |
$314.64 |