BURGESS, WALTER
NPI: 1114193687
· OPP, AL 36467
· Dentist
· NPI assigned 05/05/2008
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
84 |
$0.00 |
| 2022 |
205 |
$0.00 |
| 2023 |
1,511 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
204 |
198 |
$0.00 |
| D1999 |
|
416 |
401 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
97 |
94 |
$0.00 |
| D0330 |
Panoramic radiographic image |
62 |
57 |
$0.00 |
| D1120 |
Prophylaxis - child |
286 |
279 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
29 |
29 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
521 |
510 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
140 |
134 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
45 |
44 |
$0.00 |