MULDOWNEY, MARTHA
NPI: 1689856437
· ROSCOE, IL 61073
· General Practice Dentistry
· NPI assigned 12/04/2007
$182K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
69 |
$2K |
| 2023 |
1,628 |
$50K |
| 2024 |
4,654 |
$131K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
1,337 |
609 |
$57K |
| D1120 |
Prophylaxis - child |
1,250 |
1,250 |
$54K |
| D0120 |
Periodic oral evaluation - established patient |
1,290 |
1,290 |
$38K |
| D1206 |
Topical application of fluoride varnish |
1,254 |
1,254 |
$34K |
| D0602 |
|
462 |
462 |
$0.00 |
| D0603 |
|
254 |
254 |
$0.00 |
| D0601 |
|
504 |
504 |
$0.00 |