PETROS, EMAN
NPI: 1225181597
· OAK PARK, MI 48237
· Dentist
· NPI assigned 01/19/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
123 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
23 |
23 |
$943.00 |
| D0120 |
Periodic oral evaluation - established patient |
34 |
34 |
$938.68 |
| D1110 |
Prophylaxis - adult |
13 |
13 |
$650.30 |
| D1208 |
Topical application of fluoride, excluding varnish |
25 |
25 |
$625.00 |
| D0220 |
Intraoral - periapical first radiographic image |
28 |
27 |
$306.95 |