HALE, KATHLEEN
NPI: 1902952856
· DANSVILLE, NY 14437
· General Practice Dentistry
· NPI assigned 01/25/2007
$838.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
36 |
$838.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
20 |
20 |
$599.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
16 |
16 |
$239.00 |