COMPLETE DENTAL PC
NPI: 1184896912
· HICKSVILLE, NY 11801
· General Practice Dentistry
· NPI assigned 04/01/2008
Provider Details
| Authorized Official | BRAVO, BERTHA (DENTIST) |
| NPI Enumeration Date | 04/01/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
916 |
$21K |
| 2022 |
54 |
$998.62 |
| 2023 |
88 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
163 |
163 |
$8K |
| D0120 |
Periodic oral evaluation - established patient |
275 |
274 |
$6K |
| D0274 |
Bitewings - four radiographic images |
193 |
193 |
$5K |
| D1120 |
Prophylaxis - child |
59 |
57 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
144 |
143 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
116 |
116 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
108 |
108 |
$675.29 |