PETERSEN, MARK
NPI: 1255470365
· COXSACKIE, NY 12051
· General Practice Dentistry
· NPI assigned 02/05/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
169 |
$5K |
| 2019 |
175 |
$5K |
| 2020 |
12 |
$308.00 |
| 2021 |
56 |
$2K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
274 |
272 |
$7K |
| D1110 |
Prophylaxis - adult |
99 |
99 |
$4K |
| D0230 |
Intraoral - periapical each additional radiographic image |
39 |
38 |
$384.00 |