ANTHONY DICOSTANZO DDS PC
NPI: 1306227129
· DYER, IN 46311
· General Practice Dentistry
· NPI assigned 06/17/2015
Provider Details
| Authorized Official | BENNE, MARTI (OFFICE MANANGER) |
| NPI Enumeration Date | 06/17/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
115 |
$3K |
| 2020 |
83 |
$2K |
| 2021 |
189 |
$7K |
| 2022 |
112 |
$4K |
| 2023 |
87 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
375 |
296 |
$15K |
| D0120 |
Periodic oral evaluation - established patient |
148 |
123 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
13 |
$514.75 |
| D0274 |
Bitewings - four radiographic images |
16 |
15 |
$432.59 |
| D1999 |
|
33 |
27 |
$0.00 |