DESSELLE, RENE
NPI: 1285693788
· MANSURA, LA 71350
· Dentist
· NPI assigned 03/22/2006
$193K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,134 |
$33K |
| 2019 |
1,213 |
$37K |
| 2020 |
823 |
$24K |
| 2021 |
471 |
$13K |
| 2022 |
1,152 |
$34K |
| 2023 |
1,042 |
$32K |
| 2024 |
509 |
$20K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,035 |
1,004 |
$48K |
| D0120 |
Periodic oral evaluation - established patient |
1,642 |
1,598 |
$45K |
| D1120 |
Prophylaxis - child |
947 |
923 |
$31K |
| D0272 |
Bitewings - two radiographic images |
1,267 |
1,229 |
$27K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
496 |
470 |
$23K |
| D1208 |
Topical application of fluoride, excluding varnish |
957 |
931 |
$19K |