DO, TIMOTHY
NPI: 1750559753
· MANSFIELD, TX 76063
· General Practice Dentistry
· NPI assigned 02/13/2008
$176.40
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
24 |
$176.40 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$176.40 |
| D0602 |
|
12 |
12 |
$0.00 |