MICHALAK, JOHN
NPI: 1831240035
· BRANFORD, CT 06405
· General Practice Dentistry
· NPI assigned 01/15/2007
$882.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
24 |
$882.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
12 |
12 |
$540.96 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$341.04 |