TAASAN, MARLON
NPI: 1871652933
· FAIRFIELD, CA 94533
· General Practice Dentistry
· NPI assigned 12/06/2006
$287.40
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
67 |
$287.40 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
54 |
30 |
$224.40 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$63.00 |