CARBONELL, DAVID
NPI: 1205249786
· BRIDGMAN, MI 49106
· Dentist
· NPI assigned 06/03/2014
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
470 |
$11K |
| 2019 |
53 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
66 |
66 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
110 |
110 |
$3K |
| D1120 |
Prophylaxis - child |
55 |
55 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
96 |
96 |
$2K |
| D0274 |
Bitewings - four radiographic images |
28 |
28 |
$888.47 |
| D0220 |
Intraoral - periapical first radiographic image |
56 |
56 |
$856.54 |
| D0230 |
Intraoral - periapical each additional radiographic image |
93 |
48 |
$735.92 |
| D1206 |
Topical application of fluoride varnish |
19 |
19 |
$425.00 |