VENNAPUSALA, PRAMEELA
NPI: 1164084554
· GEORGETOWN, TX 78628
· Dentist
· NPI assigned 07/05/2019
$306.01
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
12 |
$0.00 |
| 2024 |
47 |
$306.01 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
21 |
12 |
$173.55 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$132.46 |
| D0603 |
|
26 |
26 |
$0.00 |