GODOY, ARIANA
NPI: 1043748593
· COPIAGUE, NY 11726
· Dentist
· NPI assigned 05/29/2017
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
520 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
49 |
49 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
87 |
87 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
141 |
141 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
145 |
145 |
$905.77 |
| D1208 |
Topical application of fluoride, excluding varnish |
64 |
64 |
$703.80 |
| D1120 |
Prophylaxis - child |
20 |
20 |
$559.32 |
| D0274 |
Bitewings - four radiographic images |
14 |
14 |
$215.60 |