SCHULT, SARA
NPI: 1750551529
· WAUSAU, WI 54401
· General Practice Dentistry
· NPI assigned 03/07/2008
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
41 |
$1K |
| 2022 |
15 |
$450.00 |
| 2023 |
38 |
$648.20 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
68 |
68 |
$2K |
| D1120 |
Prophylaxis - child |
13 |
13 |
$613.60 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$364.00 |