SERVETNIK, DZHULIYA
NPI: 1235668021
· CYPRESS, TX 77433
· Dentist
· NPI assigned 06/06/2017
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
1,535 |
$39K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0145 |
Oral evaluation for a patient under three years of age |
112 |
111 |
$16K |
| D1351 |
Sealant - per tooth |
330 |
54 |
$9K |
| D1120 |
Prophylaxis - child |
107 |
107 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
87 |
86 |
$2K |
| D0272 |
Bitewings - two radiographic images |
122 |
121 |
$2K |
| D1206 |
Topical application of fluoride varnish |
132 |
132 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
161 |
158 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
165 |
147 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
27 |
27 |
$883.00 |
| D0603 |
|
292 |
286 |
$0.00 |