D SEVERE, DELPHINE
NPI: 1124258256
· MANCHESTER, NH 03103
· General Practice Dentistry
· NPI assigned 07/23/2009
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
138 |
$1K |
| 2024 |
92 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
90 |
89 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
28 |
28 |
$643.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
71 |
39 |
$227.00 |
| D0220 |
Intraoral - periapical first radiographic image |
41 |
40 |
$201.00 |