DE BARROS, NATALIE
NPI: 1003807249
· KING OF PRUSSIA, PA 19406
· Pediatric Dentist
· NPI assigned 11/04/2005
$109K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
182 |
$15K |
| 2021 |
1,158 |
$94K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2930 |
Prefabricated stainless steel crown - primary tooth |
740 |
151 |
$74K |
| D9248 |
|
127 |
127 |
$15K |
| D9920 |
|
125 |
125 |
$7K |
| D3220 |
Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction |
100 |
45 |
$7K |
| D1206 |
Topical application of fluoride varnish |
192 |
192 |
$4K |
| D1120 |
Prophylaxis - child |
20 |
20 |
$590.00 |
| D0120 |
Periodic oral evaluation - established patient |
21 |
21 |
$420.00 |
| D0272 |
Bitewings - two radiographic images |
15 |
15 |
$242.49 |