RASANOW, MATTHEW
NPI: 1255827606
· ELYRIA, OH 44035
· General Practice Dentistry
· NPI assigned 07/09/2018
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
875 |
$10K |
| 2020 |
697 |
$5K |
| 2021 |
390 |
$3K |
| 2022 |
206 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
491 |
490 |
$7K |
| D0272 |
Bitewings - two radiographic images |
599 |
598 |
$5K |
| D1110 |
Prophylaxis - adult |
115 |
115 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
108 |
107 |
$2K |
| D1120 |
Prophylaxis - child |
66 |
65 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
112 |
111 |
$470.00 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$180.00 |
| D1999 |
|
292 |
278 |
$0.00 |
| D1330 |
|
373 |
372 |
$0.00 |