LEISHMAN, GRANT
NPI: 1891351391
· FORT KENT, ME 04743
· General Practice Dentistry
· NPI assigned 05/10/2019
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
40 |
$875.43 |
| 2022 |
52 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
43 |
43 |
$930.11 |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$628.30 |
| D1206 |
Topical application of fluoride varnish |
24 |
24 |
$372.60 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$330.12 |