PAVLOV, HAYLEY
NPI: 1730298571
· COLUMBUS, IN 47201
· Pediatric Dentist
· NPI assigned 08/29/2006
$737.75
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
252 |
$0.00 |
| 2020 |
26 |
$737.75 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
86 |
85 |
$448.50 |
| D1206 |
Topical application of fluoride varnish |
103 |
102 |
$289.25 |
| D0120 |
Periodic oral evaluation - established patient |
89 |
89 |
$0.00 |