JOHN, LINY
NPI: 1871905497
· FRISCO, TX 75033
· Pediatric Dentist
· NPI assigned 06/02/2014
$882.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
48 |
$882.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
16 |
16 |
$588.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
20 |
20 |
$294.00 |
| D0601 |
|
12 |
12 |
$0.00 |