NPI: 1124877147 · NEW SHARON, ME 04955 · Dental Hygienist · NPI assigned 05/13/2024
| Authorized Official | DESOUZA, KELLI (INDEPENDENT DENTAL HYGIENIST) |
| NPI Enumeration Date | 05/13/2024 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 6,449 | $159K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1355 | 4,344 | 184 | $88K | |
| D4341 | 68 | 27 | $11K | |
| D2940 | 138 | 37 | $8K | |
| D0230 | Intraoral - periapical each additional radiographic image | 445 | 125 | $7K |
| D0190 | 317 | 288 | $7K | |
| D0210 | Intraoral - complete series of radiographic images | 71 | 71 | $7K |
| D1110 | Prophylaxis - adult | 90 | 89 | $6K |
| D1310 | 220 | 218 | $6K | |
| D0220 | Intraoral - periapical first radiographic image | 182 | 134 | $4K |
| D0274 | Bitewings - four radiographic images | 80 | 79 | $4K |
| D4355 | 28 | 28 | $3K | |
| D1320 | 72 | 69 | $2K | |
| D1206 | Topical application of fluoride varnish | 79 | 74 | $2K |
| D1351 | Sealant - per tooth | 66 | 15 | $2K |
| D4346 | 16 | 15 | $883.22 | |
| D1120 | Prophylaxis - child | 14 | 13 | $655.80 |
| D0272 | Bitewings - two radiographic images | 16 | 15 | $567.20 |
| D0602 | 117 | 115 | $0.00 | |
| D0603 | 86 | 86 | $0.00 |