TANABE YAMAGISHI, YUKA
NPI: 1659643021
· ROCKVILLE, MD 20852
· Pediatric Dentist
· NPI assigned 02/01/2012
$139K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,009 |
$29K |
| 2019 |
1,249 |
$34K |
| 2020 |
751 |
$20K |
| 2021 |
904 |
$25K |
| 2022 |
819 |
$23K |
| 2023 |
278 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,250 |
1,226 |
$52K |
| D0120 |
Periodic oral evaluation - established patient |
1,384 |
1,361 |
$40K |
| D1206 |
Topical application of fluoride varnish |
1,578 |
1,548 |
$39K |
| D1330 |
|
662 |
645 |
$4K |
| D1351 |
Sealant - per tooth |
112 |
25 |
$4K |
| D0272 |
Bitewings - two radiographic images |
24 |
24 |
$360.00 |