IFARAJIMI, AYODELE
NPI: 1982197497
· PAMPA, TX 79065
· General Practice Dentistry
· NPI assigned 06/08/2018
$156.38
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
76 |
$156.38 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
13 |
$70.56 |
| D0220 |
Intraoral - periapical first radiographic image |
25 |
25 |
$62.80 |
| D0230 |
Intraoral - periapical each additional radiographic image |
13 |
13 |
$23.02 |
| D0603 |
|
25 |
25 |
$0.00 |