PALMER, MARK
NPI: 1992002232
· LARAMIE, WY 82070
· Dentist
· NPI assigned 02/23/2011
$955.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
25 |
$955.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$559.00 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$396.00 |