EGESDAL, TRAVIS
NPI: 1811066806
· KNOXVILLE, IA 50138
· Dentist
· NPI assigned 11/06/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
12 |
$207.56 |
| 2020 |
40 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
24 |
24 |
$563.07 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$447.51 |
| D1208 |
Topical application of fluoride, excluding varnish |
15 |
15 |
$326.47 |