DELLA CROCE, MIRA
NPI: 1134439144
· BEAVERTON, OR 97006
· Dentist
· NPI assigned 10/13/2010
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
305 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
69 |
69 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
60 |
60 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
38 |
38 |
$646.00 |
| D1206 |
Topical application of fluoride varnish |
27 |
27 |
$513.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$494.00 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
18 |
18 |
$468.00 |
| D0272 |
Bitewings - two radiographic images |
25 |
25 |
$460.00 |
| D1354 |
|
55 |
19 |
$266.00 |