SUSU, THEODORE
NPI: 1316082464
· POUGHKEEPSIE, NY 12603
· Dentist
· NPI assigned 02/20/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
395 |
$12K |
| 2019 |
450 |
$13K |
| 2020 |
91 |
$2K |
| 2021 |
13 |
$172.90 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
236 |
235 |
$13K |
| D0274 |
Bitewings - four radiographic images |
306 |
305 |
$8K |
| D0220 |
Intraoral - periapical first radiographic image |
355 |
354 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
39 |
39 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$358.15 |