HENRICH, DENNIS
NPI: 1861587107
· LE MARS, IA 51031
· General Practice Dentistry
· NPI assigned 10/03/2006
$590.85
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
26 |
$590.85 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$367.25 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$223.60 |