SMITH, ALONZO
NPI: 1073130134
· ANNAPOLIS, MD 21401
· Student in an Organized Health Care Education/Training Program
· NPI assigned 07/06/2020
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
25 |
$0.00 |
| 2022 |
637 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
196 |
193 |
$324.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
30 |
30 |
$250.00 |
| D0140 |
Limited oral evaluation - problem focused |
28 |
28 |
$250.00 |
| D1110 |
Prophylaxis - adult |
26 |
26 |
$240.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
364 |
99 |
$216.00 |
| D0274 |
Bitewings - four radiographic images |
18 |
18 |
$154.00 |