MULLENAUX, DANIEL
NPI: 1790873032
· QUEEN CREEK, AZ 85142
· Dentist
· NPI assigned 10/11/2006
$126.05
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$52.74 |
| 2019 |
18 |
$46.25 |
| 2022 |
38 |
$27.06 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
25 |
25 |
$79.80 |
| D0220 |
Intraoral - periapical first radiographic image |
18 |
16 |
$46.25 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
13 |
$0.00 |