VO, THAO
NPI: 1780719468
· PEARLAND, TX 77581
· General Practice Dentistry
· NPI assigned 02/22/2007
$566.70
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
43 |
$566.70 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$346.20 |
| D1208 |
Topical application of fluoride, excluding varnish |
16 |
15 |
$220.50 |
| D0601 |
|
15 |
15 |
$0.00 |