DORNBURG, TERRY
NPI: 1003817677
· GRANTSVILLE, MD 21536
· Dentist
· NPI assigned 08/04/2005
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
57 |
$2K |
| 2019 |
25 |
$654.04 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
34 |
34 |
$988.72 |
| D1208 |
Topical application of fluoride, excluding varnish |
33 |
33 |
$759.00 |
| D1120 |
Prophylaxis - child |
15 |
15 |
$635.55 |