MARTA, MONICA
NPI: 1184790511
· MONTROSE, PA 18801
· Dentist
· NPI assigned 11/28/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
99 |
$3K |
| 2021 |
295 |
$7K |
| 2024 |
315 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
223 |
223 |
$8K |
| D0120 |
Periodic oral evaluation - established patient |
312 |
311 |
$6K |
| D1208 |
Topical application of fluoride, excluding varnish |
97 |
97 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
32 |
32 |
$730.00 |
| D0272 |
Bitewings - two radiographic images |
45 |
45 |
$727.22 |