HINDUPUR, SAMANTHA
NPI: 1043520224
· SAVANNAH, MO 64485
· Dentist
· NPI assigned 10/20/2010
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
167 |
$1K |
| 2020 |
150 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
48 |
48 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
46 |
46 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
39 |
38 |
$909.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
25 |
25 |
$773.89 |
| D1110 |
Prophylaxis - adult |
32 |
32 |
$588.25 |
| D1120 |
Prophylaxis - child |
17 |
17 |
$395.00 |
| D0274 |
Bitewings - four radiographic images |
17 |
17 |
$149.57 |
| D0230 |
Intraoral - periapical each additional radiographic image |
18 |
18 |
$53.96 |
| D1330 |
|
75 |
75 |
$0.00 |