HENRY, HAROLD
NPI: 1689686305
· WEIRTON, WV 26062
· Dentist
· NPI assigned 08/12/2006
$172K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
587 |
$16K |
| 2019 |
534 |
$12K |
| 2020 |
1,278 |
$26K |
| 2021 |
776 |
$21K |
| 2022 |
953 |
$29K |
| 2023 |
942 |
$30K |
| 2024 |
1,173 |
$38K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
994 |
857 |
$48K |
| D0120 |
Periodic oral evaluation - established patient |
1,806 |
1,495 |
$41K |
| D1120 |
Prophylaxis - child |
1,071 |
893 |
$37K |
| D1206 |
Topical application of fluoride varnish |
1,340 |
1,045 |
$25K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
324 |
286 |
$11K |
| D1208 |
Topical application of fluoride, excluding varnish |
422 |
396 |
$9K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
16 |
14 |
$1K |
| D1999 |
|
270 |
160 |
$0.00 |