SAYRE, JOEL
NPI: 1306922703
· BOZEMAN, MT 59715
· Pediatric Dentist
· NPI assigned 10/27/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
106 |
$926.73 |
| 2020 |
106 |
$512.00 |
| 2024 |
126 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
84 |
84 |
$606.39 |
| D1206 |
Topical application of fluoride varnish |
90 |
90 |
$443.46 |
| D0272 |
Bitewings - two radiographic images |
61 |
61 |
$336.55 |
| D0120 |
Periodic oral evaluation - established patient |
51 |
51 |
$52.33 |
| D1330 |
|
16 |
16 |
$0.00 |
| D0603 |
|
20 |
19 |
$0.00 |
| D1310 |
|
16 |
16 |
$0.00 |