SUBBA, YASHMIN
NPI: 1750943577
· BENBROOK, TX 76126
· General Practice Dentistry
· NPI assigned 07/01/2019
$948.15
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
47 |
$948.15 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
14 |
14 |
$477.75 |
| D1208 |
Topical application of fluoride, excluding varnish |
33 |
33 |
$470.40 |