MACK, ROY
NPI: 1295020204
· MARYSVILLE, OH 43040
· Dentist
· NPI assigned 06/17/2011
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
237 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
69 |
69 |
$4K |
| D0120 |
Periodic oral evaluation - established patient |
74 |
74 |
$2K |
| D1206 |
Topical application of fluoride varnish |
69 |
69 |
$2K |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$510.90 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$458.64 |