PIEDRA, ALEX
NPI: 1174029649
· YAKIMA, WA 98902
· Student in an Organized Health Care Education/Training Program
· NPI assigned 04/03/2018
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
28 |
$147.00 |
| 2022 |
125 |
$2K |
| 2023 |
79 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
20 |
20 |
$577.00 |
| D1120 |
Prophylaxis - child |
15 |
15 |
$551.25 |
| D1206 |
Topical application of fluoride varnish |
20 |
20 |
$294.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
63 |
29 |
$207.18 |
| D0220 |
Intraoral - periapical first radiographic image |
32 |
32 |
$175.84 |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
12 |
$147.00 |
| D0603 |
|
55 |
54 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
14 |
$0.00 |