SALACUP, THOMAS
NPI: 1164588455
· VALLEJO, CA 94590
· General Practice Dentistry
· NPI assigned 12/29/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,182 |
$14K |
| 2019 |
934 |
$12K |
| 2020 |
60 |
$562.05 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
271 |
270 |
$10K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,218 |
404 |
$5K |
| D0274 |
Bitewings - four radiographic images |
191 |
191 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
365 |
364 |
$4K |
| D1120 |
Prophylaxis - child |
102 |
102 |
$3K |
| D1110 |
Prophylaxis - adult |
14 |
14 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
15 |
$990.00 |