SULLIVAN, BRIAN
NPI: 1740859966
· DERRY, NH 03038
· Dentist
· NPI assigned 06/22/2021
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
62 |
$0.00 |
| 2022 |
91 |
$0.00 |
| 2024 |
55 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
60 |
58 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
61 |
61 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
27 |
25 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
47 |
47 |
$0.00 |