MASSA WALLACE, NATALIE
NPI: 1194217315
· DELAWARE, OH 43015
· General Practice Dentistry
· NPI assigned 06/04/2018
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
41 |
$485.09 |
| 2019 |
100 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
31 |
18 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
17 |
17 |
$627.00 |
| D0120 |
Periodic oral evaluation - established patient |
35 |
35 |
$573.76 |
| D1110 |
Prophylaxis - adult |
15 |
15 |
$535.89 |
| D1120 |
Prophylaxis - child |
16 |
16 |
$315.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
13 |
$189.00 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
12 |
$63.00 |