SANFORD, AILIE
NPI: 1013576032
· HANNIBAL, MO 63401
· General Practice Dentistry
· NPI assigned 06/12/2019
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
61 |
$2K |
| 2020 |
514 |
$27K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0274 |
Bitewings - four radiographic images |
126 |
126 |
$6K |
| D1120 |
Prophylaxis - child |
80 |
80 |
$5K |
| D1206 |
Topical application of fluoride varnish |
121 |
121 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
96 |
96 |
$4K |
| D1110 |
Prophylaxis - adult |
33 |
33 |
$3K |
| D2140 |
|
20 |
15 |
$3K |
| D0330 |
Panoramic radiographic image |
23 |
23 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
55 |
55 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
21 |
12 |
$594.00 |