MASTELLOTTO, MARK
NPI: 1013077601
· ADRIAN, MI 49221
· Dentist
· NPI assigned 12/12/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
423 |
$10K |
| 2019 |
345 |
$8K |
| 2020 |
258 |
$6K |
| 2021 |
310 |
$8K |
| 2022 |
291 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
649 |
649 |
$16K |
| D1120 |
Prophylaxis - child |
334 |
334 |
$12K |
| D1208 |
Topical application of fluoride, excluding varnish |
505 |
505 |
$11K |
| D0220 |
Intraoral - periapical first radiographic image |
82 |
82 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
57 |
51 |
$461.79 |