HARRIS, ANDREA
NPI: 1841783446
· OLATHE, KS 66061
· General Practice Dentistry
· NPI assigned 06/08/2018
$512.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
90 |
$512.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
58 |
40 |
$260.00 |
| D1120 |
Prophylaxis - child |
32 |
24 |
$252.00 |