MANN, KYLE
NPI: 1861053407
· LIBERTY, KY 42539
· General Practice Dentistry
· NPI assigned 06/25/2019
$702.75
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
26 |
$389.75 |
| 2023 |
12 |
$313.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
25 |
24 |
$581.25 |
| D1206 |
Topical application of fluoride varnish |
13 |
12 |
$121.50 |