TANIOS-RAFLA, GINA
NPI: 1831388685
· EAST BRUNSWICK, NJ 08816
· Dentist
· NPI assigned 10/17/2007
$405.60
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
25 |
$405.60 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
12 |
12 |
$204.00 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$201.60 |