DIBELKA, JAMES
NPI: 1336132984
· SHIPROCK, NM 87420
· General Practice Dentistry
· NPI assigned 08/30/2005
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
616 |
$16K |
| 2019 |
534 |
$13K |
| 2020 |
405 |
$10K |
| 2021 |
152 |
$4K |
| 2022 |
287 |
$9K |
| 2023 |
434 |
$6K |
| 2024 |
93 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
687 |
687 |
$21K |
| D1206 |
Topical application of fluoride varnish |
734 |
734 |
$14K |
| D0120 |
Periodic oral evaluation - established patient |
667 |
667 |
$12K |
| D0274 |
Bitewings - four radiographic images |
229 |
229 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
101 |
101 |
$3K |
| D1354 |
|
38 |
16 |
$1K |
| D1110 |
Prophylaxis - adult |
40 |
40 |
$613.47 |
| D1208 |
Topical application of fluoride, excluding varnish |
13 |
13 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$0.00 |