WORTMAN, TODD
NPI: 1134143993
· NEW ROCHELLE, NY 10801
· General Practice Dentistry
· NPI assigned 07/26/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
919 |
$20K |
| 2019 |
722 |
$20K |
| 2020 |
810 |
$25K |
| 2021 |
129 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
473 |
473 |
$19K |
| D0120 |
Periodic oral evaluation - established patient |
871 |
871 |
$18K |
| D1120 |
Prophylaxis - child |
378 |
378 |
$12K |
| D2335 |
|
98 |
42 |
$9K |
| D1208 |
Topical application of fluoride, excluding varnish |
424 |
424 |
$5K |
| D0274 |
Bitewings - four radiographic images |
138 |
138 |
$2K |
| D2332 |
|
19 |
12 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
121 |
121 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
25 |
25 |
$690.00 |
| D0220 |
Intraoral - periapical first radiographic image |
33 |
33 |
$38.40 |