CHO, AH
NPI: 1275059586
· POWELL, OH 43065
· Dentist
· NPI assigned 08/17/2017
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
280 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
146 |
131 |
$3K |
| D0250 |
|
65 |
65 |
$874.90 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
13 |
13 |
$342.55 |
| D0120 |
Periodic oral evaluation - established patient |
15 |
15 |
$256.20 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$240.00 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$180.00 |
| D0220 |
Intraoral - periapical first radiographic image |
17 |
16 |
$85.00 |