KI, ASHLEY
NPI: 1356409817
· MORAVIA, NY 13118
· General Practice Dentistry
· NPI assigned 12/05/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
169 |
$6K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
45 |
45 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
45 |
45 |
$1K |
| D7140 |
Extraction, erupted tooth or exposed root |
19 |
13 |
$902.50 |
| D0140 |
Limited oral evaluation - problem focused |
33 |
33 |
$534.70 |
| D1206 |
Topical application of fluoride varnish |
14 |
14 |
$399.00 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$154.70 |