NEVINS, ZANE
NPI: 1720122773
· WHEATLAND, WY 82201
· General Practice Dentistry
· NPI assigned 02/16/2007
$769.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
26 |
$769.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
13 |
12 |
$385.00 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$384.00 |