DESTEFANO, THOMAS
NPI: 1306860648
· PITTSFORD, NY 14534
· General Practice Dentistry
· NPI assigned 07/27/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
69 |
$2K |
| 2020 |
164 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
74 |
74 |
$2K |
| D1110 |
Prophylaxis - adult |
26 |
26 |
$1K |
| D1120 |
Prophylaxis - child |
33 |
33 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
87 |
87 |
$1K |
| D0274 |
Bitewings - four radiographic images |
13 |
13 |
$481.65 |