RAPHAEL, ALLISON
NPI: 1942718747
· OLYMPIA, WA 98512
· Dental Hygienist
· NPI assigned 01/15/2018
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
749 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
297 |
284 |
$0.00 |
| D4341 |
|
130 |
93 |
$0.00 |
| D1110 |
Prophylaxis - adult |
153 |
153 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
169 |
169 |
$0.00 |