DRAHOTA, LUMIR
NPI: 1821086075
· FREMONT, NE 68025
· Dentist
· NPI assigned 10/12/2005
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$242.00 |
| 2022 |
38 |
$864.30 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
25 |
25 |
$560.75 |
| D0120 |
Periodic oral evaluation - established patient |
26 |
26 |
$545.55 |