UMANSKY, SULA
NPI: 1255543757
· CYPRESS, TX 77433
· Dentist
· NPI assigned 05/04/2007
$957.51
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
77 |
$957.51 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0230 |
Intraoral - periapical each additional radiographic image |
24 |
24 |
$656.07 |
| D0220 |
Intraoral - periapical first radiographic image |
26 |
25 |
$301.44 |
| D0603 |
|
27 |
27 |
$0.00 |