MATHEWS, ALEC
NPI: 1881266542
· DE WITT, IA 52742
· Dentist
· NPI assigned 07/13/2021
$940.51
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
32 |
$940.51 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
15 |
15 |
$507.91 |
| D1206 |
Topical application of fluoride varnish |
17 |
16 |
$432.60 |