BONDARCHUK, TATYANA
NPI: 1740352780
· PORTLAND, OR 97236
· Dental Hygienist
· NPI assigned 11/14/2006
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
345 |
$0.00 |
| 2020 |
65 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1330 |
|
15 |
15 |
$0.00 |
| D1310 |
|
15 |
15 |
$0.00 |
| D1351 |
Sealant - per tooth |
200 |
66 |
$0.00 |
| D0191 |
|
180 |
180 |
$0.00 |