RAYNOR DENTAL PLLC
NPI: 1669701272
· KEENE, NH 03431
· Dental Clinic/Center
· NPI assigned 12/09/2009
$421.46
Total Medicaid Paid
Provider Details
| Authorized Official | RAYNOR, JASON (DENTIST) |
| NPI Enumeration Date | 12/09/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
14 |
$421.46 |
| 2023 |
49 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
39 |
39 |
$421.46 |
| D1206 |
Topical application of fluoride varnish |
24 |
24 |
$0.00 |