CLISSO DENTISTRY PC
NPI: 1336275973
· NORTON, VA 24273
· Dentist
· NPI assigned 02/26/2007
Provider Details
| Authorized Official | CLISSO, MONICA (OWNER OPERATOR DENTIST) |
| NPI Enumeration Date | 02/26/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,729 |
$38K |
| 2019 |
1,126 |
$25K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9630 |
|
670 |
670 |
$13K |
| D1208 |
Topical application of fluoride, excluding varnish |
573 |
573 |
$12K |
| D1120 |
Prophylaxis - child |
293 |
293 |
$10K |
| D0120 |
Periodic oral evaluation - established patient |
459 |
459 |
$9K |
| D1110 |
Prophylaxis - adult |
191 |
191 |
$9K |
| D0274 |
Bitewings - four radiographic images |
110 |
110 |
$3K |
| D0220 |
Intraoral - periapical first radiographic image |
247 |
245 |
$3K |
| D0230 |
Intraoral - periapical each additional radiographic image |
241 |
202 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
71 |
71 |
$2K |