PAULSON, TIMOTHY
NPI: 1790139749
· WILLIAMS, AZ 86046
· Dentist
· NPI assigned 04/15/2016
$45.03
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
293 |
$0.00 |
| 2019 |
114 |
$0.00 |
| 2020 |
33 |
$0.00 |
| 2021 |
12 |
$45.03 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
118 |
107 |
$45.03 |
| D0274 |
Bitewings - four radiographic images |
81 |
74 |
$0.00 |
| D1999 |
|
16 |
13 |
$0.00 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
41 |
39 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
55 |
55 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
102 |
78 |
$0.00 |
| D0210 |
Intraoral - complete series of radiographic images |
27 |
25 |
$0.00 |