JAME T RICKMAN IV DDS PC
NPI: 1851584601
· MIDLOTHIAN, VA 23112
· General Practice Dentistry
· NPI assigned 08/24/2007
$470.49
Total Medicaid Paid
Provider Details
| Authorized Official | RICKMAN, JAMES (OWNER DENTIST) |
| NPI Enumeration Date | 08/24/2007 |
Related Entities
Other providers sharing the same authorized official: RICKMAN, JAMES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
24 |
$470.49 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$241.80 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$228.69 |