CLARK, RACHEL
NPI: 1720570484
· WICHITA, KS 67214
· Dentist
· NPI assigned 05/30/2018
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
175 |
$5K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D0330 |
Panoramic radiographic image |
27 |
27 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
16 |
16 |
$884.60 |
| D1206 |
Topical application of fluoride varnish |
29 |
29 |
$717.60 |
| D0220 |
Intraoral - periapical first radiographic image |
43 |
43 |
$533.24 |
| D0230 |
Intraoral - periapical each additional radiographic image |
60 |
25 |
$0.00 |