XIE, EILEEN
NPI: 1346507084
· PERTH AMBOY, NJ 08861
· General Practice Dentistry
· NPI assigned 04/19/2012
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
529 |
$4K |
| 2019 |
170 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
163 |
163 |
$3K |
| D1120 |
Prophylaxis - child |
50 |
50 |
$907.20 |
| D0220 |
Intraoral - periapical first radiographic image |
215 |
215 |
$771.42 |
| D1110 |
Prophylaxis - adult |
47 |
47 |
$736.20 |
| D0230 |
Intraoral - periapical each additional radiographic image |
148 |
148 |
$410.61 |
| D0274 |
Bitewings - four radiographic images |
45 |
45 |
$327.93 |
| D0602 |
|
14 |
14 |
$120.00 |
| D1206 |
Topical application of fluoride varnish |
17 |
17 |
$105.30 |