ASHOTY, REEMON
NPI: 1851709059
· FRISCO, TX 75035
· Dentist
· NPI assigned 07/31/2014
$770.40
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
42 |
$770.40 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
27 |
24 |
$608.70 |
| D1208 |
Topical application of fluoride, excluding varnish |
15 |
12 |
$161.70 |