HARBAUGH, TRAVIS
NPI: 1679703995
· ALLISON, IA 50602
· Dentist
· NPI assigned 07/21/2009
$152K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,561 |
$54K |
| 2019 |
1,783 |
$39K |
| 2020 |
1,079 |
$25K |
| 2021 |
1,021 |
$24K |
| 2022 |
168 |
$4K |
| 2023 |
136 |
$4K |
| 2024 |
28 |
$723.22 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,968 |
1,901 |
$40K |
| D1206 |
Topical application of fluoride varnish |
2,042 |
1,979 |
$34K |
| D1120 |
Prophylaxis - child |
1,076 |
1,043 |
$31K |
| D1110 |
Prophylaxis - adult |
703 |
676 |
$25K |
| D0274 |
Bitewings - four radiographic images |
335 |
323 |
$9K |
| D1351 |
Sealant - per tooth |
320 |
51 |
$7K |
| D0272 |
Bitewings - two radiographic images |
174 |
168 |
$3K |
| D0330 |
Panoramic radiographic image |
30 |
30 |
$1K |
| D4910 |
|
14 |
14 |
$854.00 |
| D0220 |
Intraoral - periapical first radiographic image |
47 |
44 |
$462.14 |
| D0140 |
Limited oral evaluation - problem focused |
13 |
12 |
$336.96 |
| D0602 |
|
30 |
30 |
$145.00 |
| D0603 |
|
24 |
24 |
$110.00 |