CAMPOS, CARISSA
NPI: 1144563560
· ACWORTH, GA 30101
· General Practice Dentistry
· NPI assigned 04/03/2013
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
246 |
$1K |
| 2019 |
375 |
$2K |
| 2020 |
101 |
$609.05 |
| 2021 |
14 |
$630.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
249 |
249 |
$2K |
| D0274 |
Bitewings - four radiographic images |
183 |
183 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
290 |
290 |
$1K |
| D1110 |
Prophylaxis - adult |
14 |
14 |
$630.00 |