VICK, LATASHA
NPI: 1669456364
· BAXTER SPRINGS, KS 66713
· Physician Assistant
· NPI assigned 12/06/2005
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
455 |
$17K |
| 2019 |
50 |
$523.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
80 |
80 |
$8K |
| D1120 |
Prophylaxis - child |
71 |
71 |
$6K |
| D1351 |
Sealant - per tooth |
135 |
26 |
$1K |
| D1206 |
Topical application of fluoride varnish |
142 |
142 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
43 |
41 |
$360.00 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$225.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
22 |
13 |
$168.00 |