BITRA, ANUSHA
NPI: 1346851284
· SNYDER, TX 79549
· Dentist
· NPI assigned 08/13/2020
$939.10
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
59 |
$939.10 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$346.20 |
| D0230 |
Intraoral - periapical each additional radiographic image |
22 |
13 |
$253.22 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$176.40 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$163.28 |