MOCK, THERESA
NPI: 1689130437
· MIDDLETON, WI 53562
· Dental Hygienist
· NPI assigned 02/18/2019
$440K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
3,113 |
$49K |
| 2020 |
2,468 |
$37K |
| 2021 |
4,292 |
$66K |
| 2022 |
5,531 |
$118K |
| 2023 |
5,080 |
$107K |
| 2024 |
3,001 |
$63K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
7,113 |
7,107 |
$113K |
| D1351 |
Sealant - per tooth |
5,292 |
1,674 |
$109K |
| D1120 |
Prophylaxis - child |
3,618 |
3,615 |
$96K |
| D0191 |
|
4,948 |
4,945 |
$66K |
| D1110 |
Prophylaxis - adult |
1,252 |
1,252 |
$44K |
| D1354 |
|
1,262 |
643 |
$12K |