STEWART, ROBERT
NPI: 1699935387
· PASADENA, TX 77504
· Dentist
· NPI assigned 06/16/2008
$483.39
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
92 |
$483.39 |
| 2021 |
122 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
32 |
31 |
$115.40 |
| D1120 |
Prophylaxis - child |
27 |
26 |
$110.25 |
| D0220 |
Intraoral - periapical first radiographic image |
38 |
35 |
$100.48 |
| D1206 |
Topical application of fluoride varnish |
34 |
33 |
$88.20 |
| D0230 |
Intraoral - periapical each additional radiographic image |
39 |
32 |
$69.06 |
| D0603 |
|
44 |
44 |
$0.00 |