PENG, LIN
NPI: 1750908075
· TUBA CITY, AZ 86045
· Dentist
· NPI assigned 07/02/2020
$404.67
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
14 |
$404.67 |
| 2023 |
363 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
88 |
88 |
$404.67 |
| D0140 |
Limited oral evaluation - problem focused |
34 |
33 |
$0.00 |
| D9310 |
|
40 |
39 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
57 |
57 |
$0.00 |
| D1330 |
|
35 |
35 |
$0.00 |
| D1110 |
Prophylaxis - adult |
60 |
60 |
$0.00 |
| D0330 |
Panoramic radiographic image |
63 |
63 |
$0.00 |