BALAN, SIMONA
NPI: 1023282217
· MORTON GROVE, IL 60053
· General Practice Dentistry
· NPI assigned 04/17/2008
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
544 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
124 |
124 |
$5K |
| D1206 |
Topical application of fluoride varnish |
123 |
123 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
86 |
86 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
24 |
24 |
$596.16 |
| D0272 |
Bitewings - two radiographic images |
42 |
42 |
$465.78 |
| D0220 |
Intraoral - periapical first radiographic image |
64 |
63 |
$423.04 |
| D0274 |
Bitewings - four radiographic images |
19 |
19 |
$378.86 |
| D0230 |
Intraoral - periapical each additional radiographic image |
62 |
62 |
$277.76 |