DEREK HIAM, DDS, PLLC
NPI: 1891261061
· LISBON, ND 58054
· Dental Clinic/Center
· NPI assigned 10/15/2018
$988.98
Total Medicaid Paid
Provider Details
| Authorized Official | HIAM, DEREK (DENTIST) |
| NPI Enumeration Date | 10/15/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
46 |
$638.92 |
| 2020 |
20 |
$0.00 |
| 2024 |
12 |
$350.06 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
35 |
24 |
$634.08 |
| D0120 |
Periodic oral evaluation - established patient |
23 |
12 |
$354.90 |
| D1999 |
|
20 |
14 |
$0.00 |