JOHNSTONE, AUTUMN
NPI: 1700242039
· CORNELIUS, OR 97113
· Dental Hygienist
· NPI assigned 12/31/2015
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
153 |
$0.00 |
| 2020 |
127 |
$0.00 |
| 2021 |
529 |
$0.00 |
| 2022 |
574 |
$0.00 |
| 2023 |
57 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0191 |
|
733 |
731 |
$0.00 |
| D1351 |
Sealant - per tooth |
253 |
88 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
454 |
452 |
$0.00 |