SPOLJARIC, ANGELA
NPI: 1235114489
· CAPE GIRARDEAU, MO 63703
· Dentist
· NPI assigned 12/09/2005
$282K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,344 |
$131K |
| 2019 |
2,498 |
$118K |
| 2020 |
641 |
$33K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
1,439 |
1,414 |
$61K |
| D0120 |
Periodic oral evaluation - established patient |
1,176 |
1,148 |
$54K |
| D1120 |
Prophylaxis - child |
859 |
837 |
$49K |
| D0274 |
Bitewings - four radiographic images |
731 |
716 |
$40K |
| D1110 |
Prophylaxis - adult |
424 |
424 |
$34K |
| D0272 |
Bitewings - two radiographic images |
488 |
472 |
$20K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
111 |
111 |
$9K |
| D1351 |
Sealant - per tooth |
191 |
65 |
$9K |
| D0330 |
Panoramic radiographic image |
64 |
64 |
$6K |