FOHL, SUZANNE
NPI: 1689908766
· FREDERICK, MD 21702
· General Practice Dentistry
· NPI assigned 09/23/2009
$107K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
985 |
$48K |
| 2024 |
1,264 |
$59K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
606 |
604 |
$40K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
464 |
461 |
$26K |
| D0210 |
Intraoral - complete series of radiographic images |
329 |
329 |
$19K |
| D1206 |
Topical application of fluoride varnish |
548 |
548 |
$14K |
| D0120 |
Periodic oral evaluation - established patient |
208 |
208 |
$7K |
| D0274 |
Bitewings - four radiographic images |
40 |
40 |
$944.17 |
| D0220 |
Intraoral - periapical first radiographic image |
54 |
50 |
$602.02 |