VANDUKER, MARK
NPI: 1861029498
· SCOTTSDALE, AZ 85251
· Student in an Organized Health Care Education/Training Program
· NPI assigned 03/24/2020
$0.00
Total Medicaid Paid
1,176
Beneficiary Records
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
1,210 |
$0.00 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
75 |
75 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
121 |
121 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
275 |
275 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
147 |
147 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
123 |
123 |
$0.00 |
| D1351 |
Sealant - per tooth |
46 |
12 |
$0.00 |
| D1120 |
Prophylaxis - child |
234 |
234 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
158 |
158 |
$0.00 |
| D0350 |
|
31 |
31 |
$0.00 |