FEDORE, CRAIG
NPI: 1801083860
· EAST LANSING, MI 48823
· Dentist
· NPI assigned 10/03/2007
$910.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
28 |
$910.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
14 |
14 |
$560.00 |
| D1206 |
Topical application of fluoride varnish |
14 |
14 |
$350.00 |