OLSON, SAMUEL
NPI: 1124683818
· WESTMINSTER, CO 80020
· Student in an Organized Health Care Education/Training Program
· NPI assigned 05/08/2019
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
313 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
32 |
13 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
67 |
61 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
79 |
74 |
$3K |
| D0330 |
Panoramic radiographic image |
38 |
38 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
13 |
13 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
65 |
60 |
$812.80 |
| D1110 |
Prophylaxis - adult |
19 |
16 |
$797.43 |