PRATES, KEVIN
NPI: 1902232077
· HOOD RIVER, OR 97031
· Dentist
· NPI assigned 09/20/2013
$441.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
266 |
$441.00 |
| 2020 |
133 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
210 |
210 |
$196.00 |
| D1110 |
Prophylaxis - adult |
137 |
137 |
$188.00 |
| D1206 |
Topical application of fluoride varnish |
20 |
20 |
$57.00 |
| D0274 |
Bitewings - four radiographic images |
16 |
16 |
$0.00 |
| D0277 |
|
16 |
16 |
$0.00 |