SMITH, ANDREW
NPI: 1134263478
· MURRAY, UT 84107
· Dentist
· NPI assigned 02/19/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
588 |
$14K |
| 2019 |
207 |
$7K |
| 2020 |
126 |
$4K |
| 2022 |
51 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
240 |
229 |
$25K |
| D1110 |
Prophylaxis - adult |
15 |
13 |
$320.98 |
| D0230 |
Intraoral - periapical each additional radiographic image |
218 |
205 |
$255.40 |
| D0220 |
Intraoral - periapical first radiographic image |
260 |
241 |
$223.90 |
| D1120 |
Prophylaxis - child |
81 |
78 |
$200.15 |
| D1206 |
Topical application of fluoride varnish |
114 |
111 |
$169.15 |
| D0274 |
Bitewings - four radiographic images |
14 |
13 |
$67.39 |
| D0272 |
Bitewings - two radiographic images |
30 |
30 |
$0.00 |