LANA, OLUWABUSAYO
NPI: 1215496047
· GLENN DALE, MD 20769
· Student in an Organized Health Care Education/Training Program
· NPI assigned 03/19/2019
$126.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
91 |
$126.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
40 |
29 |
$45.00 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$44.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
14 |
$25.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
25 |
14 |
$12.00 |