CASTO-MOLINA, CASSANDRA
NPI: 1992025688
· MC MURRAY, PA 15317
· Dentist
· NPI assigned 06/04/2010
$444.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$204.00 |
| 2021 |
13 |
$240.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$240.00 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$204.00 |