MICHELS, STACY
NPI: 1710248125
· WAUWATOSA, WI 53226
· General Practice Dentistry
· NPI assigned 06/01/2012
$900.57
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
58 |
$900.57 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
31 |
31 |
$399.59 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$283.66 |
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$217.32 |