SIVANICH, KRISTOFER
NPI: 1285945089
· FORT HOOD, TX 76544
· Pediatric Dentist
· NPI assigned 06/25/2010
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
97 |
$1K |
| 2021 |
528 |
$6K |
| 2022 |
336 |
$3K |
| 2023 |
1,069 |
$17K |
| 2024 |
154 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
171 |
168 |
$6K |
| D0145 |
Oral evaluation for a patient under three years of age |
44 |
42 |
$6K |
| D0120 |
Periodic oral evaluation - established patient |
169 |
166 |
$5K |
| D0230 |
Intraoral - periapical each additional radiographic image |
481 |
212 |
$4K |
| D1206 |
Topical application of fluoride varnish |
319 |
311 |
$4K |
| D0220 |
Intraoral - periapical first radiographic image |
242 |
232 |
$2K |
| D0272 |
Bitewings - two radiographic images |
51 |
49 |
$771.54 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
16 |
16 |
$565.12 |
| D0603 |
|
691 |
679 |
$0.00 |