SIH MOKAN, P.A.
NPI: 1710496518
· FAIRWAY, KS 66205
· Dental Clinic/Center
· NPI assigned 09/25/2017
Provider Details
| Authorized Official | TULL, GREGORY (OWNER/PRINCIPAL) |
| NPI Enumeration Date | 09/25/2017 |
Related Entities
Other providers sharing the same authorized official: TULL, GREGORY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
98 |
$2K |
| 2019 |
99 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
45 |
45 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
30 |
30 |
$870.00 |
| D1206 |
Topical application of fluoride varnish |
44 |
44 |
$744.56 |
| D0230 |
Intraoral - periapical each additional radiographic image |
47 |
31 |
$499.75 |
| D0220 |
Intraoral - periapical first radiographic image |
31 |
31 |
$369.30 |