MCCOY, ROLFE
NPI: 1811088016
· CHILLICOTHE, MO 64601
· Dentist
· NPI assigned 09/27/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
79 |
$3K |
| 2019 |
71 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
30 |
27 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
46 |
46 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
35 |
35 |
$1K |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$931.00 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$358.00 |
| D1206 |
Topical application of fluoride varnish |
14 |
14 |
$238.00 |