EVANISH, JOHN
NPI: 1063567667
· HAWLEY, PA 18428
· General Practice Dentistry
· NPI assigned 01/24/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
40 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
13 |
13 |
$468.00 |
| D0274 |
Bitewings - four radiographic images |
15 |
15 |
$420.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$240.00 |