MULUGETA, KIRUBEAL
NPI: 1003403700
· WAYNESBORO, PA 17268
· General Practice Dentistry
· NPI assigned 12/29/2020
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
675 |
$18K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
212 |
212 |
$5K |
| D1110 |
Prophylaxis - adult |
109 |
109 |
$4K |
| D1120 |
Prophylaxis - child |
118 |
118 |
$4K |
| D1206 |
Topical application of fluoride varnish |
135 |
135 |
$3K |
| D0274 |
Bitewings - four radiographic images |
49 |
49 |
$1K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
15 |
13 |
$948.00 |
| D0601 |
|
25 |
25 |
$250.00 |
| D0602 |
|
12 |
12 |
$120.00 |