FERNANDES-MORAIS, MARIA
NPI: 1720209596
· GRAPEVINE, TX 76051
· General Practice Dentistry
· NPI assigned 05/01/2007
$566.15
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
38 |
$566.15 |
| 2022 |
13 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$375.05 |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
13 |
$191.10 |
| D0603 |
|
25 |
25 |
$0.00 |