BOOZE, KANIKA
NPI: 1780743476
· KILLEEN, TX 76542
· General Practice Dentistry
· NPI assigned 12/08/2006
$492.10
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
26 |
$492.10 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$403.90 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$88.20 |