DIAZ, MARTHA
NPI: 1114139540
· WAUKEGAN, IL 60085
· General Practice Dentistry
· NPI assigned 05/06/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
669 |
$16K |
| 2019 |
525 |
$12K |
| 2021 |
117 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
376 |
369 |
$15K |
| D0120 |
Periodic oral evaluation - established patient |
331 |
325 |
$9K |
| D1208 |
Topical application of fluoride, excluding varnish |
185 |
185 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
203 |
198 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
178 |
178 |
$676.40 |
| D0274 |
Bitewings - four radiographic images |
26 |
26 |
$422.50 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$112.80 |