LEWIS, MARTHA
NPI: 1174833396
· UTICA, MS 39175
· Dentist
· NPI assigned 10/21/2010
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
20 |
$29.24 |
| 2023 |
680 |
$14K |
| 2024 |
737 |
$25K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D8670 |
Periodic orthodontic treatment visit |
268 |
205 |
$13K |
| D0140 |
Limited oral evaluation - problem focused |
258 |
226 |
$9K |
| D0330 |
Panoramic radiographic image |
151 |
137 |
$8K |
| D0220 |
Intraoral - periapical first radiographic image |
448 |
387 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
79 |
73 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
220 |
127 |
$1K |
| D1120 |
Prophylaxis - child |
13 |
12 |
$348.60 |