BRIANNA RAFETTO DMD PA
NPI: 1033780457
· MIDDLETOWN, DE 19709
· General Practice Dentistry
· NPI assigned 07/07/2021
Provider Details
| Authorized Official | RAFETTO, BRIANNA (OWNER / DENTIST) |
| NPI Enumeration Date | 07/07/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
522 |
$13K |
| 2023 |
241 |
$4K |
| 2024 |
203 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
271 |
241 |
$10K |
| D1208 |
Topical application of fluoride, excluding varnish |
223 |
199 |
$5K |
| D1110 |
Prophylaxis - adult |
79 |
68 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
86 |
78 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
69 |
52 |
$977.83 |
| D1120 |
Prophylaxis - child |
16 |
12 |
$617.32 |
| D0602 |
|
222 |
202 |
$0.00 |