AHN, NICHOLAS
NPI: 1912510678
· NORTH BEND, OR 97459
· Dentist
· NPI assigned 08/24/2020
$155.05
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
162 |
$155.05 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
27 |
27 |
$60.64 |
| D0220 |
Intraoral - periapical first radiographic image |
50 |
48 |
$57.13 |
| D0230 |
Intraoral - periapical each additional radiographic image |
55 |
47 |
$37.28 |
| D0274 |
Bitewings - four radiographic images |
15 |
15 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
15 |
15 |
$0.00 |