NAGELE, DAVID
NPI: 1790859866
· WATSEKA, IL 60970
· General Practice Dentistry
· NPI assigned 11/20/2006
$670.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
24 |
$670.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
12 |
12 |
$410.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$260.00 |