PERRY, ROBERT
NPI: 1912969866
· COUNCIL BLUFFS, IA 51503
· Dentist
· NPI assigned 04/05/2006
$898.23
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
72 |
$655.51 |
| 2022 |
16 |
$242.72 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
43 |
30 |
$521.48 |
| D1120 |
Prophylaxis - child |
22 |
13 |
$231.60 |
| D1208 |
Topical application of fluoride, excluding varnish |
23 |
13 |
$145.15 |