SIRI K. ZIESE DDS INC.
NPI: 1174026264
· PLACERVILLE, CA 95667
· Dental Clinic/Center
· NPI assigned 03/14/2018
$163K
Total Medicaid Paid
Provider Details
| Authorized Official | ZIESE, SIRI (DENTIST) |
| NPI Enumeration Date | 03/14/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,464 |
$54K |
| 2019 |
1,880 |
$75K |
| 2020 |
887 |
$22K |
| 2021 |
541 |
$7K |
| 2022 |
287 |
$4K |
| 2023 |
12 |
$144.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
853 |
292 |
$101K |
| D9430 |
|
853 |
830 |
$27K |
| D7140 |
Extraction, erupted tooth or exposed root |
217 |
51 |
$12K |
| D0220 |
Intraoral - periapical first radiographic image |
1,016 |
1,004 |
$12K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,967 |
653 |
$8K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
74 |
72 |
$2K |
| D1999 |
|
91 |
87 |
$0.00 |