PEDAVOLI, THOMAS
NPI: 1134148349
· SOUTH BEND, IN 46617
· General Practice Dentistry
· NPI assigned 07/19/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
182 |
$2K |
| 2019 |
199 |
$6K |
| 2020 |
176 |
$5K |
| 2021 |
181 |
$6K |
| 2022 |
250 |
$7K |
| 2023 |
316 |
$10K |
| 2024 |
36 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
542 |
527 |
$22K |
| D0120 |
Periodic oral evaluation - established patient |
786 |
752 |
$15K |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$267.00 |