DUDHATRA, JAGRUTI
NPI: 1073242202
· GLENVIEW, IL 60025
· General Practice Dentistry
· NPI assigned 06/04/2022
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
150 |
$3K |
| 2024 |
156 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
77 |
77 |
$2K |
| D1120 |
Prophylaxis - child |
40 |
40 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
37 |
37 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
39 |
39 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
13 |
13 |
$429.61 |
| D0220 |
Intraoral - periapical first radiographic image |
84 |
70 |
$423.04 |
| D0230 |
Intraoral - periapical each additional radiographic image |
16 |
12 |
$62.72 |