CALSIMITTO, DONNA
NPI: 1083721112
· EAST BOSTON, MA 02128
· General Practice Dentistry
· NPI assigned 08/24/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
20 |
$224.00 |
| 2020 |
87 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9110 |
|
16 |
12 |
$460.20 |
| D0220 |
Intraoral - periapical first radiographic image |
43 |
26 |
$408.80 |
| D0230 |
Intraoral - periapical each additional radiographic image |
32 |
13 |
$331.20 |
| D0120 |
Periodic oral evaluation - established patient |
16 |
13 |
$230.00 |