ADIGARLA, SAI PAVAN
NPI: 1053048223
· SNYDER, TX 79549
· General Practice Dentistry
· NPI assigned 08/06/2022
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
495 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
53 |
53 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
64 |
64 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
132 |
64 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
69 |
69 |
$999.60 |
| D0220 |
Intraoral - periapical first radiographic image |
64 |
64 |
$803.84 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$658.56 |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$415.32 |
| D0272 |
Bitewings - two radiographic images |
16 |
16 |
$374.08 |
| D0603 |
|
42 |
42 |
$0.00 |
| D0602 |
|
30 |
30 |
$0.00 |