JOHNSON, TARA
NPI: 1851685697
· HUMBLE, TX 77346
· Student in an Organized Health Care Education/Training Program
· NPI assigned 06/08/2011
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2024 |
125 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1120 |
Prophylaxis - child |
13 |
13 |
$477.75 |
| D0230 |
Intraoral - periapical each additional radiographic image |
40 |
16 |
$460.40 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$346.20 |
| D1206 |
Topical application of fluoride varnish |
15 |
15 |
$220.50 |
| D0220 |
Intraoral - periapical first radiographic image |
17 |
17 |
$213.52 |
| D0603 |
|
28 |
28 |
$0.00 |