THEIS, DALE
NPI: 1215010780
· GAHANNA, OH 43230
· Dentist
· NPI assigned 10/20/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
77 |
$1K |
| 2020 |
53 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
18 |
18 |
$580.21 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
15 |
$342.55 |
| D0140 |
Limited oral evaluation - problem focused |
13 |
12 |
$270.96 |
| D0120 |
Periodic oral evaluation - established patient |
14 |
13 |
$204.96 |
| D0220 |
Intraoral - periapical first radiographic image |
17 |
16 |
$75.00 |
| D1999 |
|
53 |
46 |
$0.00 |