DESAMERO, ELIZABETH
NPI: 1225550528
· FREMONT, NE 68025
· General Practice Dentistry
· NPI assigned 07/09/2017
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
693 |
$29K |
| 2019 |
14 |
$375.02 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
125 |
125 |
$6K |
| D1120 |
Prophylaxis - child |
84 |
84 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
103 |
102 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
153 |
153 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
123 |
117 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
26 |
26 |
$2K |
| D1351 |
Sealant - per tooth |
37 |
12 |
$2K |
| D0272 |
Bitewings - two radiographic images |
44 |
44 |
$2K |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$709.00 |