METCALF, ASHLEY
NPI: 1881186625
· BEMIDJI, MN 56601
· General Practice Dentistry
· NPI assigned 06/06/2018
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
34 |
$0.00 |
| 2020 |
64 |
$2K |
| 2021 |
53 |
$1K |
| 2022 |
51 |
$2K |
| 2023 |
260 |
$11K |
| 2024 |
52 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
202 |
201 |
$8K |
| D1206 |
Topical application of fluoride varnish |
214 |
214 |
$7K |
| D1110 |
Prophylaxis - adult |
52 |
52 |
$3K |
| D1120 |
Prophylaxis - child |
12 |
12 |
$605.04 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
17 |
17 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
17 |
17 |
$0.00 |