MONDRAGON, ROBERT
NPI: 1740481167
· LESLIE, MI 49251
· Dentist
· NPI assigned 05/31/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
69 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
28 |
28 |
$1K |
| D1206 |
Topical application of fluoride varnish |
26 |
26 |
$650.00 |
| D0120 |
Periodic oral evaluation - established patient |
15 |
15 |
$420.00 |