MALCOM, SYLVESTER
NPI: 1124487590
· JONESBORO, GA 30238
· General Practice Dentistry
· NPI assigned 02/15/2016
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
222 |
$8K |
| 2020 |
14 |
$350.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
48 |
48 |
$3K |
| D1208 |
Topical application of fluoride, excluding varnish |
106 |
106 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
64 |
64 |
$2K |
| D0274 |
Bitewings - four radiographic images |
18 |
18 |
$704.00 |