PAULOVICH, STEVEN
NPI: 1801476429
· PORTLAND, OR 97239
· Student in an Organized Health Care Education/Training Program
· NPI assigned 04/08/2021
$978.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
24 |
$978.00 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$522.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$456.00 |