HSI, JONATHAN
NPI: 1003331984
· LOS LUNAS, NM 87031
· Dentist
· NPI assigned 08/11/2017
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,270 |
$27K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
208 |
208 |
$7K |
| D1110 |
Prophylaxis - adult |
134 |
134 |
$6K |
| D0274 |
Bitewings - four radiographic images |
147 |
147 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
273 |
272 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
146 |
146 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
255 |
222 |
$2K |
| D1120 |
Prophylaxis - child |
93 |
93 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$305.62 |