ROTH, ALEX
NPI: 1114206513
· FAIRFIELD, IA 52556
· Dentist
· NPI assigned 08/16/2011
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
543 |
$10K |
| 2019 |
674 |
$13K |
| 2020 |
39 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
585 |
530 |
$10K |
| D1120 |
Prophylaxis - child |
208 |
182 |
$5K |
| D1206 |
Topical application of fluoride varnish |
271 |
243 |
$4K |
| D1110 |
Prophylaxis - adult |
68 |
66 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
49 |
48 |
$1K |
| D0274 |
Bitewings - four radiographic images |
32 |
29 |
$735.69 |
| D0272 |
Bitewings - two radiographic images |
43 |
32 |
$493.62 |