MOHANTY, PALLAVI
NPI: 1053711721
· KERRVILLE, TX 78028
· General Practice Dentistry
· NPI assigned 08/29/2014
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2024 |
228 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0145 |
Oral evaluation for a patient under three years of age |
17 |
17 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
94 |
30 |
$455.69 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$220.56 |
| D1206 |
Topical application of fluoride varnish |
29 |
29 |
$213.15 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$211.92 |
| D0220 |
Intraoral - periapical first radiographic image |
35 |
35 |
$200.96 |
| D0602 |
|
15 |
15 |
$0.00 |
| D0603 |
|
14 |
14 |
$0.00 |