CALLAHAN, SAMANTHA
NPI: 1851383848
· PHOENIX, AZ 85022
· Public Health Dentist
· NPI assigned 08/17/2005
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
31 |
$0.00 |
| 2019 |
83 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
47 |
46 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
54 |
53 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$0.00 |