DUBE, NATHALIE
NPI: 1902081250
· MT PLEASANT, MI 48858
· Dentist
· NPI assigned 01/07/2008
$597.34
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$261.34 |
| 2020 |
12 |
$336.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$336.00 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$261.34 |