MOUNESSA, FLORA
NPI: 1326007667
· HOLLIS, NY 11423
· General Practice Dentistry
· NPI assigned 03/23/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
148 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
32 |
32 |
$1K |
| D0210 |
Intraoral - complete series of radiographic images |
20 |
20 |
$844.50 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
22 |
22 |
$455.25 |
| D0220 |
Intraoral - periapical first radiographic image |
24 |
24 |
$438.50 |
| D0120 |
Periodic oral evaluation - established patient |
20 |
20 |
$425.25 |
| D0274 |
Bitewings - four radiographic images |
17 |
17 |
$362.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
13 |
$136.50 |