CONVERSEDENTIST.COM
NPI: 1992242358
· CONVERSE, TX 78109
· General Practice Dentistry
· NPI assigned 01/24/2017
$845.18
Total Medicaid Paid
Provider Details
| Authorized Official | SCHROUD, CARYN (COACH) |
| NPI Enumeration Date | 01/24/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
43 |
$845.18 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0274 |
Bitewings - four radiographic images |
17 |
15 |
$394.43 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$259.65 |
| D1206 |
Topical application of fluoride varnish |
14 |
14 |
$191.10 |