ODHIAMBO, ANTONY
NPI: 1073740478
· TYLER, TX 75703
· General Practice Dentistry
· NPI assigned 06/12/2009
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
20 |
$0.00 |
| 2021 |
333 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0210 |
Intraoral - complete series of radiographic images |
18 |
17 |
$996.19 |
| D1110 |
Prophylaxis - adult |
20 |
19 |
$868.28 |
| D1208 |
Topical application of fluoride, excluding varnish |
72 |
70 |
$856.30 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
20 |
19 |
$496.88 |
| D0120 |
Periodic oral evaluation - established patient |
15 |
15 |
$392.50 |
| D0230 |
Intraoral - periapical each additional radiographic image |
40 |
12 |
$284.69 |
| D0220 |
Intraoral - periapical first radiographic image |
29 |
28 |
$246.16 |
| D0603 |
|
48 |
48 |
$0.01 |
| D0602 |
|
25 |
25 |
$0.00 |
| D1999 |
|
66 |
58 |
$0.00 |