MATHIESON, MISTIE
NPI: 1700394657
· DES MOINES, WA 98198
· Dental Hygienist
· NPI assigned 01/12/2018
$252K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
188 |
$3K |
| 2019 |
654 |
$12K |
| 2020 |
654 |
$12K |
| 2021 |
1,162 |
$33K |
| 2022 |
1,471 |
$55K |
| 2023 |
1,818 |
$69K |
| 2024 |
1,729 |
$68K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,750 |
1,735 |
$98K |
| D9410 |
|
1,459 |
1,441 |
$72K |
| D0191 |
|
2,479 |
2,459 |
$41K |
| D1206 |
Topical application of fluoride varnish |
1,793 |
1,779 |
$38K |
| D1208 |
Topical application of fluoride, excluding varnish |
195 |
193 |
$2K |