BROUSSARD, MARK
NPI: 1083783302
· CROWLEY, LA 70526
· General Practice Dentistry
· NPI assigned 11/08/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
150 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
37 |
36 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
59 |
58 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
14 |
$615.81 |
| D0272 |
Bitewings - two radiographic images |
27 |
26 |
$492.89 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$299.64 |