CERAVOLO, KRISTINA
NPI: 1154062883
· IRVINGTON, NJ 07111
· Dentist
· NPI assigned 04/05/2022
$488.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
55 |
$488.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$360.00 |
| D0220 |
Intraoral - periapical first radiographic image |
24 |
24 |
$80.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
19 |
19 |
$48.00 |