MACK, ANDREW
NPI: 1083683866
· CANTON, PA 17724
· Dentist
· NPI assigned 03/15/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
84 |
$2K |
| 2019 |
100 |
$3K |
| 2020 |
132 |
$4K |
| 2021 |
1,300 |
$36K |
| 2024 |
14 |
$325.68 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
496 |
495 |
$17K |
| D0120 |
Periodic oral evaluation - established patient |
799 |
797 |
$16K |
| D1120 |
Prophylaxis - child |
160 |
160 |
$5K |
| D2140 |
|
67 |
54 |
$3K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
54 |
40 |
$3K |
| D0272 |
Bitewings - two radiographic images |
29 |
29 |
$464.00 |
| D0220 |
Intraoral - periapical first radiographic image |
25 |
24 |
$192.00 |