TIMBERLINE DENTAL PLLC
NPI: 1861711608
· FLAGSTAFF, AZ 86001
· Dentist
· NPI assigned 05/18/2010
$119.18
Total Medicaid Paid
Provider Details
| Authorized Official | ZERGER, LOU (OFFICE MANAGER) |
| NPI Enumeration Date | 05/18/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
83 |
$47.56 |
| 2021 |
96 |
$71.62 |
| 2022 |
24 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
27 |
25 |
$47.56 |
| D1208 |
Topical application of fluoride, excluding varnish |
54 |
52 |
$41.86 |
| D0220 |
Intraoral - periapical first radiographic image |
78 |
72 |
$29.76 |
| D0603 |
|
28 |
25 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
16 |
16 |
$0.00 |