SANBERG, ADAM
NPI: 1275821027
· MONMOUTH, IL 61462
· Dentist
· NPI assigned 07/14/2011
$159K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
498 |
$16K |
| 2019 |
763 |
$24K |
| 2020 |
779 |
$25K |
| 2021 |
875 |
$29K |
| 2022 |
702 |
$24K |
| 2023 |
734 |
$26K |
| 2024 |
409 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
2,300 |
2,205 |
$92K |
| D0120 |
Periodic oral evaluation - established patient |
2,310 |
2,209 |
$63K |
| D1208 |
Topical application of fluoride, excluding varnish |
136 |
106 |
$3K |
| D0274 |
Bitewings - four radiographic images |
14 |
14 |
$267.02 |