ALLSWANG, RENA
NPI: 1831403856
· TAYLOR, MI 48180
· Dentist
· NPI assigned 08/02/2010
$883.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
31 |
$883.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
15 |
15 |
$533.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
16 |
16 |
$350.00 |