ASANTE, SELINA
NPI: 1831450972
· BROOKLYN PARK, MD 21225
· Dentist
· NPI assigned 06/05/2012
$371.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
37 |
$371.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
12 |
12 |
$156.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$143.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$72.00 |