BENANTI, SAMUEL
NPI: 1972600955
· TILLAMOOK, OR 97141
· General Practice Dentistry
· NPI assigned 09/20/2006
$222.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
24 |
$222.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$114.00 |
| D0191 |
|
12 |
12 |
$108.00 |