COSTES, MARK
NPI: 1932399680
· CHINO VALLEY, AZ 86323
· General Practice Dentistry
· NPI assigned 07/30/2007
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
305 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
120 |
98 |
$0.00 |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
64 |
26 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
121 |
98 |
$0.00 |