POLA, ORAS
NPI: 1235500869
· TROY, MI 48085
· Dentist
· NPI assigned 10/08/2015
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
797 |
$19K |
| 2019 |
150 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
132 |
132 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
192 |
191 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
175 |
175 |
$4K |
| D1110 |
Prophylaxis - adult |
68 |
66 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
190 |
186 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
164 |
159 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$487.68 |
| D0274 |
Bitewings - four radiographic images |
14 |
14 |
$440.34 |