ERICSON, KELTON
NPI: 1972981025
· TUCSON, AZ 85716
· Student in an Organized Health Care Education/Training Program
· NPI assigned 05/08/2015
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
649 |
$0.00 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D0330 |
Panoramic radiographic image |
64 |
64 |
$0.00 |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
157 |
58 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
352 |
350 |
$0.00 |
| D7240 |
Removal of impacted tooth - completely bony |
76 |
38 |
$0.00 |