TICE, LAUREEN
NPI: 1821491770
· CLATSKANIE, OR 97016
· Dental Hygienist
· NPI assigned 10/07/2014
$66.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
17 |
$0.00 |
| 2020 |
27 |
$19.00 |
| 2021 |
107 |
$47.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
27 |
26 |
$47.00 |
| D1206 |
Topical application of fluoride varnish |
44 |
44 |
$19.00 |
| D1330 |
|
68 |
67 |
$0.00 |
| D1310 |
|
12 |
12 |
$0.00 |