CLARK, ERIC
NPI: 1083824478
· BLYTHE, CA 92225
· Dentist
· NPI assigned 05/23/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
381 |
$6K |
| 2019 |
222 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
68 |
68 |
$3K |
| D9430 |
|
66 |
66 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
31 |
31 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
120 |
119 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
264 |
79 |
$995.48 |
| D1120 |
Prophylaxis - child |
17 |
17 |
$480.00 |
| D0120 |
Periodic oral evaluation - established patient |
15 |
15 |
$273.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
22 |
22 |
$152.00 |