TRUJILLO, TATE
NPI: 1255891511
· SYRACUSE, UT 84075
· Pediatric Dentist
· NPI assigned 03/22/2019
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
408 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
69 |
69 |
$3K |
| D1206 |
Topical application of fluoride varnish |
105 |
105 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
59 |
59 |
$2K |
| D0272 |
Bitewings - two radiographic images |
59 |
58 |
$1K |
| D0220 |
Intraoral - periapical first radiographic image |
66 |
66 |
$971.62 |
| D0230 |
Intraoral - periapical each additional radiographic image |
50 |
50 |
$570.88 |