KALMANOVICH, ANNA
NPI: 1891860540
· BOXBOROUGH, MA 01719
· Pediatric Dentist
· NPI assigned 11/21/2006
$750.45
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
25 |
$0.00 |
| 2024 |
52 |
$750.45 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
12 |
12 |
$404.25 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$346.20 |
| D0603 |
|
52 |
52 |
$0.00 |