BERESFORD, CAITLIN
NPI: 1992968390
· COUNCIL BLUFFS, IA 51503
· General Practice Dentistry
· NPI assigned 07/07/2008
$442.09
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
33 |
$442.09 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
18 |
18 |
$229.28 |
| D0120 |
Periodic oral evaluation - established patient |
15 |
15 |
$212.81 |