RAELYN N SUTTON DMD PC
NPI: 1811155674
· GRANTS PASS, OR 97526
· Dentist
· NPI assigned 05/29/2008
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | SUTTON, RAELYN (PRESIDENT) |
| NPI Enumeration Date | 05/29/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
57 |
$0.00 |
| 2019 |
835 |
$0.00 |
| 2020 |
599 |
$0.00 |
| 2021 |
424 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
28 |
28 |
$0.00 |
| D1330 |
|
568 |
551 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
153 |
150 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
91 |
91 |
$0.00 |
| D1310 |
|
13 |
13 |
$0.00 |
| D0602 |
|
159 |
158 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
64 |
62 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
86 |
86 |
$0.00 |
| D1110 |
Prophylaxis - adult |
554 |
538 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
185 |
182 |
$0.00 |
| D1120 |
Prophylaxis - child |
14 |
14 |
$0.00 |